Genworth of NY Agent Licensing & Appointment Contracting Forms

Lock Box 281001
6000 Feldwood Rd.
College Park, GA 30349

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 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.

Founded in the 1880s, Genworth is the only remaining company that made up the Dow Jones Industrial Average when it was created in 1886. Genworth of New York is a Genworth company committed to providing high-quality, competitive insurance and annuities designed to help you build, protect and transfer wealth.