• Applications
• Loss Runs Request
• Marketing Materials
• Producer Appointment
• Product Distribution
• Contrac Pac Resources
• Design Professionals Resources
• Home Business Insurance Resources
• Marine Resources
• Personal Umbrella Resources
• Professional Services Group Resources
• Surety Resources
• Transportation Resources

Producer Appointment

Are you interested in becoming a producer with RLI?

If you are you interested in writing business with any of the RLI companies — RLI Insurance Company, Mt. Hawley Insurance Company or Contractors Bonding and Insurance Company — please complete the form below. One of our team members will contact you to discuss your interest. Please review our product distribution channels to determine which products are available to you for distribution.

Company Name

Contact Name

Email

Address

City

State

Zip Code

Phone

Website (Optional)

Products of Interest (check all that apply)

Business Owners (home based businesses)

Excess and Surplus Casualty

Executive Liability

Ocean Marine and Inland Marine (Commercial)

Personal Umbrella Policy

Professional Lines

Excess and Surplus Property

Surety Bonds

Transportation

Other

If other, please list product interest: (Optional)

I am a:

Retail Agent

Retail Broker

Wholesale Broker

Program Administrator

Have you ever been appointed or written business with any RLI company before?

Yes

No

Additional Information (Optional)

What code is in the image?

Enter the characters shown in the image.

Submit