Transportation Agent Appointment

If you are interested in becoming appointed to an RLI Transportation product line (Truck, Public Auto or Commercial Specialty Auto), please complete an Agency/Broker profile and specify the product line in which you are interested.

Prior to the quote being submitted to your agency, all new producers must submit the following documentation:

• Agency/Broker Profile (pdf)
• Form W-9 (pdf)
• Producer License Application (pdf)
• All three forms in one (this form combines the three forms above and can be submitted in their place)
• Current E&O Declarations page
• Agency Balance Sheet
• Agency Profit & Loss Statement

Submit all agent appointment forms or requests for more information to: 
Mike Haswell
Vice President, Business Development & Retention
E: Mike.Haswell@rlicorp.com
Ph: 404-443-1037

RLI Transportation
2970 Clairmont Rd., Suite 1000
Atlanta, GA 30329