Thank you for your interest in becoming a producer for Specialty Risk Associates, Inc. Please complete the questionnaire below.

  • Agency Questionnaire
  • IRS W-9 form
  • Errors & Omissions Declarations page evidencing minimum $1,000,000 limits
  • Copy of state license
Requested documents may be emailed to Jennie Hill at For more information, please contact us at 318-865-7023. Completed application and submitted documents will be considered by the Agency Review Committee and you will be notified of status.