Agent Registration


The majority of the systems for the licensed agents working with us are only accessible with a username and password. Once you are logged-in you will have access to online case status, E-Applications, and the automated resources we make available exclusively to agents doing business with our firm. We invite licensed agents to register to gain access to DisabilityQuotes.com by filling out the information below.

If you have previously had access to DisabilityQuotes.com, please use the First Time Login? instead of the form below.

Requirements: One upper, one lower, one number, one special character (*,!,@,#,^), 8 character minimum