Become Appointed
Want to offer Origin Specialty products to your clients?

We market our policies through a network of insurance professionals. Those who share our underwriting philosophy; embrace a thoughtful, consultative approach to risk mitigation; and always take the opportunity to do the right thing, are invited to learn more about joining our distribution team.

To become appointed with Origin Specialty, we must obtain a completed Origin Producer Questionnaire, along with your state licenses.
Origin Producer Questionnaire 
W9Form
We urge you to review, execute and return to us as soon as possible to
appointments@origin-specialty.com.

Producer Registration Packet:

Upon review of the Origin Specialty Producer Questionnaire, a member of the appointments team will reach out and upon approval, we will require additional items.  Call 847-324-3862 and we will work on it together.

We will return a fully executed copy of the Agreement to you for your files. If you have any questions, please feel free to contact us at appointments@Origin-specialty.com with any questions or comments.