Get Appointed

Become a JM Wilson / RT Specialty Agent

Are you appointed with RT Specialty?

Great news! Because you are already appointed with RT Specialty, you do not need to complete the appointment process with JM Wilson. Please complete the information below and you will receive an email shortly containing your agency code, which will allow you to begin submitting business to JM Wilson.

Agent’s Information

First Name: *

Last Name: *

Email: *

Phone: *

Agency’s Information

Agency Legal Name: *

DBA:

Agency’s DBA name (if different from legal name).

Issuance Email: *

This email address will be used to send all policies and endorsements.

FEIN (Federal Employer ID Number): *

Enter a 9 digit number like 12-3456789.

Accounting’s Information

Accounting Contact First Name: *

Accounting Contact Last Name: *

Accounting Contact Email: *

This email address will be used to send all billing related information.

Agency’s Physical Address

Address: *

City: *

State: *

ZIP: *

Agency’s Mailing Address

Use my agency’s physical address for the mailing address

Mailing Address: *

Mailing City: *

Mailing State: *

Mailing ZIP: *

Yes, I agree to share my information with JM Wilson and receive communication including email. By agreeing, I confirm that I agree to the handling and processing of my data as described in our privacy policy.