Ion General Insurance Services
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Before you begin, please have the following information available:

  • Copy of current California Fire & Casualty insurance license for your agency
  • Copy of California Bond of Insurance Broker
  • Errors & Omissions insurance declarations page (minimum limits of $500,000/500,000 are required)
  • Federal Employer Identification Number (FEIN), or Social Security Number if sole proprietor

No Bond or E&O? If you do not have either a California Bond of Insurance Broker or Errors & Omissions coverage, stop now and contact Ion Marketing via e-mail or at (714) 389-2460 for assistance with obtaining these items.

Ion offers two ways to apply for an appointment: complete the On-Line Agency Application below or download an Agency Appointment Packet (Adobe Acrobat Reader required) to fill-out by hand if you prefer. Instructions for completing the downloaded Agency Appointment Packet will be found on the first page of the Packet.

Instructions for completing the On-Line Agency Application:

Please fill out the on-line agency application below completely and click the "Submit Application" button when finished.

After submitting the application, please print the Confirmation Page that follows. Fax, email, or mail to Ion the signed Confirmation Page along with the following information:

  • Copy of your agency's current California Fire & Casualty insurance license
  • Copy of current California insurance broker's bond
  • Proof of current E&O coverage (declarations page or certificate)
  • Completed, signed W-9 Taxpayer ID form: download W-9 form here
Fax: (714) 783-3291
E-mail: newproducers@ionins.net
Address: PO Box 747, Tustin, CA 92781

Within 2 business days of receipt, we will review your application and contact you via fax and e-mail to finalize your appointment.

Ion General Insurance Services On-Line Agency Application

All fields are mandatory unless shown as optional.
Owner's First Name:
Owner's Last Name:
Agency Name:
Address 1:
Address 2 (optional):
City:
State:
Zip Code:
Phone Number:
 (XXX) XXX-XXXX
Extension: (optional)
Fax Number:
(XXX) XXX-XXXX
FEIN or SSN:
(Federal Employer Identification Number)
E-mail address:
Total Agency Volume:
(in dollars)
Premium Breakdown:
Commercial Lines:
 %
 
Personal Lines:
 %
Number of Offices:
Number of Agents:
Please indicate any carriers you have direct appointments with:
AIG
Ace
CNA
Fireman's Fund 		The Hartford
OneBeacon
Safeco
Zurich
Please list any products or niche markets you specialize in (optional):
Which agency management system do you use?
 (examples: AMS, Applied, DORIS)
Which rating system do you use, if any?
(examples: WinFSC, TopRate)
California Insurance License Information:
License Number:
Date First Licensed:
Expiration Date:
E&O Coverage Information:
Policy Number:
Carrier:
Expiration Date:
Aggregate Limit:
Occurence Limit:
Deductible:
Insurance Broker's Bond Information:
Carrier:
Bond Number:
Expiration Date:
How did you hear about us?