Skip to content


Quick Start Guide

  1. Fill out the form.
  2. Choose a marketing rep and a date/time for them to call your client.
  3. Send your client the “Client Flyer”
  4. Now relax! Your chosen marketing rep will take it from here.
  5. When a policy is placed, we will send you 50% of the first year commission*.

*Up to Target, as commissions are paid on the case

  • The agent that is referring the business to Specific Solutions. +Appointment and/or training will be required
  • Client Information:

  • Agent Acknowledge

    By submitting this form, you agree to the terms for Client-Solution. You also acknowledge that the Client-Solution process has been explained to your client and that you agree your client wants to be contacted by a Specific Solutions. You also agree your client will share information as requested during the process and that all information is deemed accurate to the best of their knowledge.