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Welcome to Pacific Select Property Insurance Company!

We specialize in providing stand-alone comprehensive residential earthquake coverage. If you are a licensed broker in California, you now have the opportunity to offer our unique residential earthquake products to your customers.

We have simplified the appointment process through online processing of your appointment request. To start the process, simply:

  • Click here first to see if your agency is located in a County affected by our "new broker" moratorium

  • Complete the information fields below

  • Submit your request to us online

Once you have submitted your online application, it will be promptly reviewed, and if you are in a targeted growth area you will be emailed a Broker Agreement. The Agreement must be signed and mailed back with a copy of your California license and proof of E&O coverage. You will be notified as soon the appointment process is completed, and we will e-mail you instructions on how to access our instant online quoting website.

Thank you for your interest in Pacific Select Property Insurance Company!


Agency Name
(as it will appear on the Declarations Page)
Street Address
Mailing Address (PO Box)
City
State

Zip Code
Telephone with Area Code
 (555-555-5555)
Fax with Area Code
 (555-555-5555)
Email Address
California DOI License Number
Exp. Date
IRS Tax ID Number
Agency Contact for this program
Primary Marketing Area
Expected average # of new stand-alone residential earthquake policies that will be produced by your office on a monthly basis
 
  
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