Step 1 – Basic Info

Thank you for your interest in working with J.E. Brown. First, we need to know a little bit about you and your agency.

My Agency already works with J.E. Brown.

Add me as a user!

If you know your J.E. Brown Producer Code, enter it here. Entering the code makes sign up much faster.

Look up my agency.
Sorry, I don't know the J.E. Brown agency code.

We found the following Agency:

Is this your Agency?

Yes, that is my Agency. No, that is not my Agency.

Don't know the code?

No problem!

Just tell us the name of your Agency, and we'll connect you manually.

That's my Agency, let's continue.

My Agency does not currently work with J.E. Brown.

Sign us up!

Agency Name Information

The common name for your business.

Provide the name exactly as it appears on your last federal income tax return.

Provide the name exactly as it appears on your current E&O declarations page.

Agency Location Information

Provide information for your main branch's physical location. Do not use a P.O. Box or mail service address.

As reported on the federal income tax return.

Use the license number for your primary state of business.

That's my Agency, let's continue.

Almost there...

Let us know about You!

User Information
This will be your login email.
Choose a secure password.
Sr., Jr., III, etc. 

Development Mode
{
    "tempID": {
        "$oid": "68e2e99af9365c9fac067ed2"
    },
    "jeb_www_base_url": "https:\/\/jebrown.wpenginepowered.com",
    "brand_code": "jebrown",
    "google_recaptcha_version": "2",
    "google_recaptcha_site_key": "6Leg2rgqAAAAACSHheAHg9LiAZm6S3SoJ5KPetch",
    "currentUser": {
        "loggedIn": false,
        "document": null
    },
    "development_mode": true,
    "session": {
        "LOGIN_RETURN": "\/form\/usli_personal"
    }
}
Agency Class: