Broker Application
Welcome to our Broker Application. If you are interested in placing your insured’s insurance needs with us, please complete our appointment application and return to:
Northeast Coverages Inc.,
1325 Franklin Ave. Suite 375, Garden City, NY 11530
Fax: 516-385-8855, info@northeastcoverages.com.
1325 Franklin Ave. Suite 375, Garden City, NY 11530
Fax: 516-385-8855, info@northeastcoverages.com.
Agency Information
Please Include:
- Completed Broker Questionnaire
- Copy of Agency and Individual License (s) for all states
- Copy of Errors & Omission declarations page
- Limited Broker Agreement
- Ensure you have read and understand the terms and conditions of the limited broker agreement