At Flag Insurance Services, we understand that your time is valuable.  We have created a simple, two page form for your completion. 

Please return the following by email attachment, fax or regular mail:

1) completed, signed and dated Premium Estimate Request Form

2) copy of your current declarations page (unless you do not have any insurance currently)

3) sample copy of your firm's letterhead.

Return by email attachment to:

NewBiz@FLAG-Insurance.com

Return by fax to:

866-385-0228

Return by mail to:

New Business Underwriting

FLAG Insurance Services

84 Court Street

Freehold, NJ 07728

Do you have questions about how to complete the premium estimate request form or do you want to make an appointment in this area?

Call us at 800-548-1063 or use our contact form.