Presidential Life Agent Licensing & Appointment Contracting Forms

2940 South 84th St.
Lincoln, NE 68506

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.

Presidential Life Insurance Company is a leading provider of fixed deferred and immediate annuities and life insurance products to financial service professionals and their clients across the United States. Presidential Life is committed to providing high-quality, competitive insurance and annuities designed to help you build, protect and transfer wealth.