Zagent Questionnaire

Agency Name: Agency Phone: Agency Street Address: Agency City: Agency State: Contact Name: Contact Email: How many years of commercial insurance experience does your agency have? How many commercial lines producers do you have? Would you say that your agency has an expertise or specializes in workers' comp insurance? Does your agency have any in-house claims personnel and/or loss control? Approximately how large of a geographic territory does your agency sell and service to? Please estimate how large your workers' comp book of business is using either premium or revenue: Approximately how many businesses do you place worker's comp insurance for?