Canon Insurance Service
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Get Appointed

To qualify as a producer, we require that brokers:

If you qualify, simply complete the Broker Application and download the Broker Agreement. Please return your completed documents to, along with a copy of your license and E&O Dec page.



Canon Can Do Green

Green all the way: save time, energy and paper. Just fill out this form online, email it back, save a copy for yourself. (A little less green: if you prefer, you can fax it back to us.)

To keep it easy, please email the unsigned application.
A signed copy can be returned at the time of binding.


8383 Wilshire Blvd., Suite 341 • Beverly Hills, CA 90211 • Tel: 310-859-8600 • Fax: 310-278-3617