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High Commissions /
Contracting with us
One simple "Universal" form for all of our carriers!
Returning Users: Login and follow the Link to Surance Bay/SureLC in the Agent Portal "Request Contracting".
First time Users: Complete the form below to submit your contracting.
Online Contracting Request
By clicking Send Request, I consent to receive informational calls, text messages and emails at the telephone number and email address provided. Legacy Agent, LLC is not affiliated with or acting on behalf of any government agency or program. These communications may be placed using an automatic telephone dialing system or prerecorded or artificial voice messaging. I understand that I do not need consent to receive these calls, texts, or emails as a condition of acquiring any Legacy Agent, LLC product or service or for any other reasons. By submitting your information you may be contacted by a licensed insurance agent. If unwilling to consent, call 1-888-479-9888 to learn more about our insurance products and services. Message and data rates may apply. Other terms and conditions apply.
