To receive commission, you must be appointed as a broker with American Specialty Insurance & Risk Services, Inc. If your office is already appointed but has not yet received an American Specialty Express Agency Commission Code, email us at express@americanspecialty.com and we will send it to you.

If your office is not yet appointed, you will need to take the following steps:

  • Step 1 - Complete an American Specialty Broker Agreement.

  • Step 2 - Provide the following:
    o Form W-9 Click here to Download Form W-9
    o A copy of your resident license and, if applicable, non-resident licenses for each state in which you want to work with us.
    o A copy of your agency’s corporate license.
    o Evidence of Professional Liability coverage with at least $1,000,000 Occurrence limit.
    o Evidence of Employee Dishonesty coverage coverage with at least $100,000 limit.

  • Step 3 - Please send the above items to contact@americanspecialty.com or mail them to the address below:

    American Specialty Insurance
    Attention: Jenni Fritz
    7609 W. Jefferson Blvd, Suite 100
    Fort Wayne, IN 46804
    Fax: 260-969-4729