Agency Application

Please print the appropriate application and complete.

Return the completed and signed application with attachments to Richard Harvey via fax (410) 953-6761.

Microsoft Word Format

• Application for Appointment of Policy-Issuing Attorney Agent
• Application for Appointment of Policy-Issuing Non-Attorney Agent
• Checklist of Required Attachments to Agency Application

Adobe Acrobat Format

• Application for Appointment of Policy-Issuing Attorney Agent
• Application for Appointment of Policy-Issuing Non-Attorney Agent
• Checklist of Required Attachments to Agency Application