US Life NY Agent Licensing & Appointment Contracting Forms

830 Third Avenue
New York, NY 10022

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.

US Life NY are top providers of annuity products. In 2001 AGL became part of the domestic life insurance operations of AIG, a global powerhouse that also has operations in property and casualty and specialty insurance.