Allianz Agent Licensing & Appointment Contracting Forms

5701 Golden Hills Drive
Minneapolis, MN 55416-1297

If you can read the Adobe file that is embedded on this page, simply print, complete, and fax that form to 866-866-2232 or 732-792-9777. You are NOT required to send proof of Errors and Omissions (E&O) coverage.

If you are unable to view the embedded Adobe file on this page, click this link to download it.

Allianz is a top provider of fixed annuity products. In 2003 the company ranked as the 11th largest corporation in the world.