Thank you for your interest in doing business with Bortec Insurance Corp
The following information is required in order to place you in our broker database:

Submit information required:

  1. .A copy of the insurance license(s). This includes Property and Casualty License, and Life INCL Variable Annuity & Healt
  2. Copy of your Errors and Omissions Declarations page showing that E & O coverage is in place with minimum limits of $1 million/$1 million.
  3. Copy of your Taxpayer Identification Number on the attached IRS form W-9.

Become an Agent

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Please upload or forward the above information to ATTN: Agent Appointed Department  
via fax: (305)713-1163 or email:
Thank you for your interest in become an agent. If you have any questions, please contact us at (786)786-1255.​


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