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Agent Appointment Form


Thank you so much for allowing FTS Life Insurance Agency, Inc. to be of service to you for Life Insurance, Single Premium Immediate, Fixed, and Fixed Index Annuities. To help us make the contracting process as simple as possible for you, please follow the steps below.

STEP 1
Complete the included fill-able documents and sign both signature pages

  • Be sure to list complete details for any “Yes” responses
STEP 2 4 Hour and/or 8 Hour Annuity Training Certificate if required by your state
  • Some states require ongoing training; while others only require initial training – must be completed
  • prior to getting appointed and dating an application
  • Not sure about this? See chart in back for details about your state requirement(s) (take a look at the “Initial Training” and “Ongoing Training” columns for details or click on “Annuity Requirement”)
  • MUST Include Certificate – Carriers require proof course(s) are completed
STEP 3 Include a copy of the following:
  • Individual and/or Corporate State Insurance License
  • E&O
  • Voided Check for Direct Deposit of Commissions
STEP 4 Fax all pages to 972-407-9322
  • To help protect your private information, please use the form below when emailing
STEP 5 Complete Product Suitability Training for each carrier appointment
  • Instructions will be provided by our licensing person
Additional information may be required by some carriers, but most requirements are satisfied by the information on these interview sheets. Life changes; so it is vital to keep our licensing person apprised of those changes so we report your information as truthfully as possible (for example; credit issues – both new & resolved, complaints, etc.). We look forward to a long and mutually rewarding relationship as a partner in your business.

Click Here to download the Agent Application Form



Personal Information
First Name
Required
Last Name
Required
Street
Required
City
Required
State
Required
ZIP / Postal Code
Required
Primary Phone Number
Required
E-Mail Address
Required
Attach Agent Application
Required
Submission Validation
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Important Notice
Any submissions or payments made via this website do not constitute a binding agreement to your policy or coverages. Changes and payments to policies are not effective or binding until you, or any party involved, receive official notice from either your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

Per the terms of our online privacy policy we will not resell your information to any third-party.
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