READ INSTRUCTIONS BELOW BEFORE PROCEEDING

Your contract has been placed on hold until we receive the items in the email you received. Find downloadable documents below, complete them, then upload them using the form below. Your contract will be reviewed once all pages have been received.

Please note: If you have any questions or need clarification on the requirements, please reply to the email you received. Also, note that contracting and the appointment process can take up to two weeks dependent on circumstances. We will work diligently to ensure contracting is submitted and processed as quickly as possible. We ask you remain patient as there are guidelines that must be met and often fall outside of our control. We are always available for questions.

Watch the Tutorial Video below on how to submit incorrect pages in your contract.

Click here to view all Contracting Guidelines

Contracting Hold Submission

Downloadable Documents

Producer Form

Agent’s full legal name (if they have a nickname, make a note of it in the “notes” section)
Contract Level
Direct Upline
Agency Manager

Signature Page

Print the agents name in the space at the top of the sheet.
The signature inside of the box MUST be a wet signature.
The signature inside of the box MUST be completely INSIDE and NOT TOUCHING the borders of the signature box.
The signature should be in black ink. No light colored ink. No pencil. No thick markers.

**We electronically lift these signatures, so they MUST be dark, legible, good quality scans.**

The background of this sheet MUST be all-white. Any signature authorization sheets that are off-white, shadowy, grainy, etc will not be accepted, and you will be asked to re-submit them. 99% of the time, camera phone scans are not good enough quality.

Bank EFT Page

Account holder name MUST be filled out & MUST match the account holder information printed on the check. If it’s a business check, then fill in the business name that’s printed on the check.
Bank routing number and account number MUST be filled in legibly and MUST match the routing/account information printed on the accompanying document you’ve provided to us.
MUST have a wet signature. If the account holder is different from the agent being contracted, that person must also sign their wet signature, in addition to the agent.
Must be dated.

Personal Data

Last & first name
Social Security Number
Gender
Birthdate
Cell Phone
Email
Move-In Date
Resident Address (street address, city/state, zip)
Resident Insurance License # & State
Individual or Business Entity
If applying as a business entity, all the business entity information MUST be filled out.
If applying as a business entity, an active business insurance license MUST be provided.
If applying as a business entity, the business Articles of Incorporation MUST be provided.

Employment History

Need to list ALL employers for the past 7 years.
Each employer MUST have a FULL start & end date (month/day/year). If they are still currently employed there, just write in “Current” in the end date spot.
Each employer MUST have a full address, even if it was overseas. If they’ve gone out of business, then we need the address they were located at during their time employed there.
A job title MUST be listed for each employer.
If there are any gaps in employment that are longer than 2 months, we need an explanation for the gap(s).
If it’s been over 2 months since their last employer listed ended, please make a note that they are “currently unemployed”.
If they have more employers than fit on the sheet, have them list any additional employers on additional employment sheets.

Background Explanation

If they have no legal explanations, they DO NOT have to sign and date this sheet & it can be discarded. It does not have to be submitted with their new producer packet.
Each legal explanation MUST have a FULL date (month/day/year) of when the incident occurred.
Each legal explanation MUST cite which question the explanation is in response to.
Each legal explanation MUST include a detailed explanation.
If the legal explanation is pertaining to bankruptcy, we need to know whether or not it has been discharged.
If the legal explanation is referring to any felony charges, the agent MUST provide court documents to be included along with the detailed explanation. We would need a notice of hearing that states the charges/allegations, as well as an official court document that shows the resolution or final judgment of the charge.
This sheet MUST be signed and dated.

Legal Questions

Fill out name at the top of the sheet
ALL questions and sub-questions must be answered.
If a MAIN question is answered “yes”, then one or more of the sub-questions MUST also be answered yes. If the MAIN question is answered “no”, answer all the sub-questions “no” and skip to the next main question, regardless of whether they think a sub-question pertains.
Legal questionnaire must be signed and dated.

**IF THE MAIN QUESTION IS ANSWERED “NO”, THEN ALL THE SUB-QUESTIONS MUST BE ANSWERED “NO.” If they are not, then you need to fix this before it is sent to our corporate office.

Address History

List ALL residences for the past 7 years.
Each residence MUST have a FULL move-in and move-out date, in exception of their current residence. List current residence on the address history sheet, as well as general information page of contract & fill in the move-out spot as “Current.”
**MAKE SURE THAT THE MOVE-IN DATE ON THE ADDRESS HISTORY SHEET AND THE 1^ST PAGE OF THE CONTRACT MATCH!**
FULL numbered street address, city/state and zip code listed
NO gaps between residences
If there are times when they were between moves, staying with friends or in hotels, then you need to make note on bottom of address history sheet.
If more residence addresses than will fit on one sheet,list additional residences on additional address sheets.

Contract Signature Page

Any pages where anything has been filled in by the agent should be included in their new producer packet.
All the pages of typed contract without anything written on them by the agent can be removed from the packet before submitting it to corporate.
The last page of the contract MUST be signed and dated by the agent.

State License

Must provide a copy of their resident license of the state they currently reside in. Their full legal name must be printed on it & it must be currently active.
“Life” MUST be listed as a line of authority of ANY license submitted, resident & non-resident.
If contracting as a business entity, an active business insurance license AND articles of incorporation also need to be provided.
Licensing help can be found at NIPR.com

AML Certificate

There MUST be a birth city AND state filled in for the agent.
There MUST be a current resident COUNTY (NOT country) filled in for the agent.
They MUST answer whether or not they own their home.
Anti Money Laundering training MUST be completed through either LIMRA or American Amicable. These are the only 2 that our carriers accept. If it’s completed through LIMRA, we just need a completion date filled out. If it’s through AmAm, then we need the completion date filled out, as well as a copy of the completion certificate.

**The name on the AML certificate MUST match the name printed on the agents license!!!**

Contracting Guidelines

New Producer Form:

Agent’s full legal name (if they have a nickname, make a note of it in the “notes” section)
Contract Level
Direct Upline
Agency Manager

Page 1 (General Agent Info):

Last & first name
Social Security Number
Gender
Birthdate
Cell Phone
Email
Move-In Date
Resident Address (street address, city/state, zip)
Resident Insurance License # & State
Individual or Business Entity
If applying as a business entity, all the business entity information MUST be filled out.
If applying as a business entity, an active business insurance license MUST be provided.
If applying as a business entity, the business Articles of Incorporation MUST be provided.

Page 2 (Legal Questions, Page 1):

Fill out name at the top of the sheet
ALL questions and sub-questions must be answered.
If a MAIN question is answered “yes”, then one or more of the sub-questions MUST also be answered yes. If the MAIN question is answered “no”, answer all the sub-questions “no” and skip to the next main question, regardless of whether they think a sub-question pertains.

**IF THE MAIN QUESTION IS ANSWERED “NO”, THEN ALL THE SUB-QUESTIONS MUST BE ANSWERED “NO.” If they are not, then you need to fix this before it is sent to our corporate office. Page 3 (Legal Questions, Page 2):

Legal questionnaire must be signed and dated.

Page 4 (Employment History):

Need to list ALL employers for the past 7 years.
Each employer MUST have a FULL start & end date (month/day/year). If they are still currently employed there, just write in “Current” in the end date spot.
Each employer MUST have a full address, even if it was overseas. If they’ve gone out of business, then we need the address they were located at during their time employed there.
A job title MUST be listed for each employer.
If there are any gaps in employment that are longer than 2 months, we need an explanation for the gap(s).
If it’s been over 2 months since their last employer listed ended, please make a note that they are “currently unemployed”.
If they have more employers than fit on the sheet, have them list any additional employers on additional employment sheets.

Page 5 (Address History):

Need to list ALL residences for the past 7 years.
Each residence MUST have a FULL move-in and move-out date, in exception of their current residence. Please list their current residence on the address history sheet, as well as the general information page of the contract & fill in the move-out spot as “Current.” **MAKE SURE THAT THE MOVE-IN DATE ON THE ADDRESS HISTORY SHEET AND THE 1^ST PAGE OF THE CONTRACT MATCH!**
There needs to be a FULL numbered street address, city/state and zip code listed for EVERY
There can be NO gaps between residences AT ALL.
If there are times when they were between moves, staying with friends or in hotels, then you need to make a note of that on the bottom of the address history sheet.
If they have more residence addresses than will fit on one sheet, please have them list any additional residences on additional address sheets.

Page 6 (BCO/AML):

There MUST be a birth city AND state filled in for the agent.
There MUST be a current resident COUNTY (NOT country) filled in for the agent.
They MUST answer whether or not they own their home.
Anti Money Laundering training MUST be completed through either LIMRA or American Amicable. These are the only 2 that our carriers accept. If it’s completed through LIMRA, we just need a completion date filled out. If it’s through AmAm, then we need the completion date filled out, as well as a copy of the completion certificate.

**The name on the AML certificate MUST match the name printed on the agents license!!!** Page 7 (Signature Authorization):

Print the agents name in the space at the top of the sheet.
The signature inside of the box MUST be a wet signature.
The signature inside of the box MUST be completely INSIDE and NOT TOUCHING the borders of the signature box.
The signature should be in black ink. No light colored ink. No pencil. No thick markers.

**We electronically lift these signatures, so they MUST be dark, legible, good quality scans.**

The background of this sheet MUST be all-white. Any signature authorization sheets that are off-white, shadowy, grainy, etc will not be accepted, and you will be asked to re-submit them. 99% of the time, camera phone scans are not good enough quality.

Page 8 (EFT Sheet):

Account holder name MUST be filled out & MUST match the account holder information printed on the check. If it’s a business check, then fill in the business name that’s printed on the check.
Bank routing number and account number MUST be filled in legibly and MUST match the routing/account information printed on the accompanying document you’ve provided to us.
MUST have a wet signature. If the account holder is different from the agent being contracted, that person must also sign their wet signature, in addition to the agent.
Must be dated.

Page 9 (AML Certificate):

If agent completed AML through American Amicable, they must provide a copy of their completion certificate. The name printed on this certificate needs to match the name printed on their license EXACTLY or you will be asked to re-submit it. Also, make sure their completion date is filled out on the BCO/AML sheet.
If agent completed AML through LIMRA, make sure their completion date is filled out on the BCO/AML sheet.

Page 10 (Licenses):

Must provide a copy of their resident license of the state they currently reside in. Their full legal name must be printed on it & it must be currently active.
“Life” MUST be listed as a line of authority of ANY license submitted, resident & non-resident.
If contracting as a business entity, an active business insurance license AND articles of incorporation also need to be provided.

Page 11 (E&O Documentation):

Please insert any E&O documentation here in their packet.

Page 12 (Legal Questionnaire Explanation Sheet):

If they have no legal explanations, they DO NOT have to sign and date this sheet & it can be discarded. It does not have to be submitted with their new producer packet.
Each legal explanation MUST have a FULL date (month/day/year) of when the incident occurred.
Each legal explanation MUST cite which question the explanation is in response to.
Each legal explanation MUST include a detailed explanation.
If the legal explanation is pertaining to bankruptcy, we need to know whether or not it has been discharged.
If the legal explanation is referring to any felony charges, the agent MUST provide court documents to be included along with the detailed explanation. We would need a notice of hearing that states the charges/allegations, as well as an official court document that shows the resolution or final judgment of the charge.
This sheet MUST be signed and dated.

Written Contract:

Any pages where anything has been filled in by the agent should be included in their new producer packet.
All the pages of typed contract without anything written on them by the agent can be removed from the packet before submitting it to corporate.
The last page of the contract MUST be signed and dated by the agent.

Full Contract

It is important you move slowly through the contracting and fill in all required fields. Submit below when complete.

NOTE: HAVE ALL OF THE ATTACHMENTS READY PRIOR TO STARTING THIS CONTRACT. THE ATTACHMENTS MUST BE UPLOADED IN THE ORDER THAT THEY'RE REQUESTED, OTHERWISE IT WILL NOT WORK AND YOU WILL HAVE TO START OVER.

PLEASE remember when requested on the first page of your contracting paperwork below, the Recruited Agent Name is YOUR NAME and the Direct Upline name is the name of the person who introduced you Symmetry. If you don't know who your Agency Manager is, please ask your sponsor.