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Simply complete the Agent Data Sheet and Background Information Questionnaire. Decide which Commission Option works best for you. Then attach a copy of your license(s) and other requested items and send or mail the forms to us. It's that easy!

CLICK HERE

Contracting online allows you to contract with multiple companies all at once – in the same amount of time it would normally take to complete just one contract.

• Simply follow the step-by-step instructions. You will be asked to answer several sets of questions, based on the number of carriers with whom you wish to contract.
  
  
• You will only need fill in one form. Your answers will then be electronically compiled and used to “populate” or answer questions on the actual contracting form of the carriers you select. Your information will be stored – so you can return to this site if you wish to contract with additional carriers.
  
  
• Once you've completed the form, print, complete and return the documents requested. This set of documents will include a signature page for you to sign. You'll be asked to fax the signature page to a designated number, so that your signature can be electronically copied onto each contract form requiring a signature.
  
  
• Note that contracts will not include compensation information. To request your commission schedule, please contact GOLDENCARE USA.
  

Note : Some carriers require Errors and Omissions Coverage before they will contract with you. For information regarding benefits and rates, click on the Errors & Omissions (E & O) Link or call GOLDENCARE USA at 1-800-842-7799.

THANK YOU!

Sample of United of Omaha 's Contract
(for Agents contracted through and commissions paid by United of Omaha )

Sample of United of Omaha 's Contract
(for Agents contracted through and commissions paid your Managing General Agent)