Burns & Wilcox Brokerage is dedicated to working with agencies with integrity, and an excellent record of service. We enjoy innovation and flexibility. We are strong partners with reliable insurance carriers and together we promise to have competitive pricing and fair claims handling.

Please note if your agency is already doing business with Burns & Wilcox Brokerage and you would like to add a new agency location please complete the Burns & Wilcox Enrollment Kit for the new location.

To become a partner agency with Burns & Wilcox Brokerage, you must first complete the Burns & Wilcox Enrollment Kit, which includes the following:

• Agency Appointment Profile
• Signed Producer Agreement
• Signed W-9 Form

*Please note that the above documents require an actual signature. Electronic signatures will not be accepted. 

New Partner Agencies are also required to attach the following documents to their Burns & Wilcox Appointment Application:

• Copy of P&C and Surplus Lines (where applicable) Licenses for all states you conduct business in
• Copy of a current E&O Declaration Page or Certificate, including any named insured endorsement

Thank you for your interest in partnering with Burns & Wilcox Brokerage. Please ensure that all required documents are complete and sent to your local contact at Burns & Wilcox Brokerage. Upon receipt of documentation, management will review your request and contact you directly.