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Producer/Agency Appointment Request

To complete the commission appointment process, HM Insurance Group requests the completion of the appropriate forms and supporting documents. E-signature, a secure and convenient way to provide information and signature, is now available (no need to print and scan paperwork).

Instructions: Fill out the appropriate web form, attach all required documents and sign electronically to complete. After completing the e-sign process, a copy of the completed document will be emailed to you.

Contact Us: If you need to connect with a member of the Commissions Department, our contact information is below:
Phone: 800-251-7453
Email: commissions@hmig.com
Address: P.O. Box 535061, Suite PAPHM-063G, Pittsburgh, PA 15253-5061
Calls are received Monday through Friday, from 8 a.m. to 5 p.m. EST.

Form - Individual product image

Individual Appointment Request Web Form

complete e-sign

You will need to upload a copy of your Producer License to successfully complete e-sign. To save time, be sure to have this file saved to your computer prior to starting the e-sign process.

Form - Agency product image

Agency Appointment Request Web Form

complete e-sign

You will need to upload a copy of your Agency License, Form W-9, proof of Errors & Omissions Coverage and proof of Fidelity Coverage (if applicable) to successfully complete e-sign. You'll also need bank information to enroll in direct deposit of commission payments. To save time, be sure to have the files saved to your computer prior to starting the e-sign process.

Form - New York product image

Agency Appointment Request Web Form - For New York Applicants Only

complete e-sign

You will need to upload a copy of your New York Agency License, Form W-9, proof of Errors & Omissions Coverage and proof of Fidelity Coverage (if applicable) to successfully complete e-sign. You'll also need bank information to enroll in direct deposit of commission payments. To save time, be sure to have the files saved to your computer prior to starting the e-sign process.