American Bankers Insurance Company of Florida
PO Box 7755
Springfield, OH 45501-7755
Phone: 800-423-4403 Fax: 714-712-3845




* Availability of Products Will Vary by State.

W-9 Information

Part 1 - Tax Identification:

Click here for W-9 Instructions 
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Enter your Tax Identification Number (TIN) in the appropriate box.
Note: For individuals, this is your social security number (SSN). For other entities, it is your employer identification number (EIN).

Part 2 - Exemption: If exempt from Form 1099 reporting, check your qualifying exemption reason below:

Part 3 - Signature: I am a U.S. person (including a U.S. resident alien):

Licensing Data Transmittal Authorization

Information and authorization requested in this section applies to all licensed producers who sell flood insurance and is used to ensure producers have appropriate licensing.

Click here for Licensing Data Transmittal Authorization Instructions 


I understand that if I am a resident of Minnesota/Oklahoma (only) I may obtain a copy of the report ordered, and now indicate my desire to do so by checking this box.

Notice to California Candidates
You have a right to obtain a copy of any consumer report or investigate consumer report obtained by Assurant by checking the box provided below. The report will be provided to you within three (3) business days after we receive the requested reports related to the matter investigated. I request to receive a free copy of this report by checking this box.

General Agent / Managing General Agent Information

Managing General Agent Information

General Agent Information

General Agent or Managing General Agent Section

Managing General Agent Section

General Agent Section

Producing Agency Information

Agency - Complete all sections & include a copy of the Agency License


(*Note: You will be required to provide a copy of your P&C license for each state selected. Licensed NY producers electing a Private product are required to provide their broker license along with their producer license.)



Producer/Agent Information

Producing Agent Section - Complete all sections

Note: Each Producing Agent must complete a new producer form and provide a copy of their license(s). Licensed NY producers selling a Private product are required to provide their broker license along with the producer license.


(*Note: You will be required to provide a copy of your P&C license for each state selected. Licensed NY producers electing a Private product are required to provide their broker license along with their producer license.)



Direct Deposit - We use direct deposit to pay commissions directly into your account on the 3rd business day of each month. Please allow up to two commission cycles for processing. To enroll in direct deposit, provide your banking information and an email address where commission statements should be sent below.
Direct deposit is Assurant's preferred payment method. Commissions are deposited on the 3rd business day of each month. If you choose to collect paper commission checks, you may experience delays in delivery. Checks aren't printed and mailed until the 8th business day of the month.

Automatic Clearing House (ACH) - ACH allows you to use your Agency's bank account to make payments for the premium of NFIP policies online through our system, FloodPro. Please allow five-to-seven business days for processing. To enroll in ACH, select Yes below, and provide your banking info.


Direct Deposit - We use direct deposit to pay commissions directly into your account on the 3rd business day of each month. Please allow up to two commission cycles for processing. To enroll in direct deposit, provide your banking information and an email address where commission statements should be sent below.
Direct deposit is Assurant's preferred payment method and allows commission to be deposited into your account by the 10th business day of each month. If you choose to collect paper commission checks, you may experience significant delivery delays.
You'll receive your first private commission payment by check in the mail. Please confirm the mailing address for the first commission payment below. All future commission payments will be paid via direct deposit. Direct Deposit payments are issued by the 10th business day of each month.

A copy of a voided check is required if you choose to enroll in direct deposit of commission payments and/or elect ACH for premium payments. When using different bank accounts for ACH and direct deposit, please upload a voided check below for each bank account used.

Flood Continuing Education

As outlined in Section 207 of the Flood Insurance Reform act 2004 (FIRA 2004), producers are required to complete a one-time flood continuing education course. Licensed producers may be required to prove that they have met the compliance requirement for Flood CE. This validation may be requested at any time.

I attest that I have complied with the minimum flood training requirements set by FEMA and/or the states in which I am licensed to write flood, through an education provider approved by the state(s) in which I'm licensed to write this insurance.

Non-Licensed/Non Producing System Users

Use this section to request view only CSR level access for non-licensed/non-producing users.

First Name
Last Name
Email
Role

Upload Required Document(s)

Before submitting this package, please upload all the required documents listed below. You may upload multiple documents at the same time. Missing documents will result in processing delays.

  • Agency license(s) for each state flood will be sold/written in
  • Producer license(s) for each state flood will be sold/written in
  • Broker license for licensed NY producers selling Private
  • Voided check(s) if electing direct deposit and/or ACH
  • CE document
Error! Please scroll up to provide one of the below missing required input(s) and try Upload again:
  - Agency Name* (Located at the top of the form)
  - Email for Principal/W9 Signee* (Located in Producing Agency Information Section of form)
Error! Please scroll up to provide one of the below missing required input(s) and try Upload again:
  - Agency Name* (Located at the top of the form)
  - Email for Principal/Contract Signee* (Located in Producing Agency Information Section of form)
Error! Please scroll up to provide one of the below missing required input(s) and try Upload again:
  - Agency Name* (Located at the top of the form)
  - Producer/Agent Email address* (Located in Producer/Agent Information Section of form)
Error! Please scroll up to provide one of the below missing required input(s) and try Upload again:
  - Agency Name* (Located at the top of the form)
  - Producer/Agent Email address* (Located in Producer/Agent Information Section of form)
Error! Please upload all the required documents to continue.
Note! You may click the More to Upload button if you need to upload additional files.
Pop-up Blocker Alert! Please ensure pop-up blockers are disabled before clicking Generate Package for Signature(s). Package opens in a new window.
Note! To re-generate Package, please click Generate Package for Signature(s) button to submit request again.


Note! If you have other producers or non-licensed system users who need to enroll, you can forward this link/URL to them to use to complete New Producer or Add Non-Licensed System User form(s) as applicable.
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