Pre-Register

Get early access to Signal

Be among the first to experience Signal, the digital wholesale platform built for today's insurance professionals.

What Signal is building

A better wholesale experience — setting a new standard for speed, transparency and responsiveness.
Direct carrier access, multi-carrier quoting technology, proprietary products and experienced underwriting support — all connected in one modern platform.
Built by insurance professionals for producers who expect more from their wholesale partners.

Early access benefits

Advance product and appetite announcements
Platform launch updates
Early access opportunities
Login credentials as soon as we launch

Your information is secure and will never be shared.

This form needs JavaScript. Pre-registration is a multi-step form and cannot be completed without it. Please enable JavaScript, or email us directly at support@signalspecialty.com and we will take your details that way.

Pre-Register Your Agency Today!

In under 5 minutes you'll be all set to receive access as soon as we launch!

We ask for your agency's details, licensing, E&O coverage and book of business so we can review your appointment quickly. Your answers are kept in this browser as you go, so you can finish in one sitting without losing progress.

Agency contacts

Are you an owner or officer of the agency?

Yes No

Owner / officer contact information

First name

Last name

Title

Phone

Agency profile

Agency National Producer #

Don't know it? Look it up here.

Agency name

Agency type

Entity type

Agency FEIN (Tax ID)

Agency phone number

Agency website

Year of formation

Agency location

Physical address

Street address

City

State

ZIP code

Is your mailing address the same as your physical address?

Yes No

Mailing address

Street address

City

State

ZIP code

Agency E&O information

E&O carrier name

Per claim limit

Expiration date

Agency premium

Percentage of premium by line

Must equal 100% between all three lines.

Commercial lines %

Personal lines %

Life & health %

Agency attestations & consent

Agency background attestation

I attest that, to the best of my knowledge: neither the agency nor any of its principals has been subject to regulatory action or a Department of Insurance violation; neither the agency nor any of its principals has filed for bankruptcy within the past five (5) years; neither the agency nor any of its principals has had an Errors and Omissions claim within the past five (5) years; and there are no open liens currently levied against the agency.

I attest that all statements are accurate. One or more exceptions apply.

Communications and electronic delivery

I authorize Signal Specialty Insurance Services and its representatives to contact me using the email address and telephone number provided regarding my registration, agency appointment, submissions, quotations, policies, billing, commissions, account activity, and other services related to my business relationship with Signal Specialty. I also consent to receive notices, disclosures, agreements, policy documents, and other records electronically. I understand that certain communications may still be delivered by mail when required by applicable law.

I have read and agree to the Communications and Electronic Delivery terms above.