Commissions Research Request

    Before you use our commissions inquiry service, please make sure the case(s) show up in the carrier portal under new business and that the policy(s) have been issued. Then, after issue, please allow adequate time for standard payroll to happen before starting an inquiry. Please allow 7-10 business days for us to complete your request. If additional information is required from a carrier, that may delay the timeframe.

     

    Agent Name (required)

    Agent Phone (required)

    Agent Email (required)

    Agent NPN or Writing Number (required)

    Date of Request (required)

    Agent of Record

    Statement Month

    Agency Name (optional)

    Product Type (required)

    Do you have one policy inquiry or multiple? (required)

    Customer Full Name (first, MI, last)

    Customer DOB

    Carrier Name

    Policy Number

    App Submission Date

    App Effective Date

    Notes (optional)

    For multiple inquiries, please download & complete the excel inquiry sheet, then drag or attach it below.

    commission inquiry form Download Excel Commission Inquiry Form

    File(s) (optional)

    MAX Files: 1 | MAX Upload Size (50MB) | Accepted File Types (XLS, XLSX, CSV, PDF)

    Notes (optional)