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 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 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