Online Appointment with Fill-N-Sign

The Allied Fill-N-Sign online appointment system is simple!  It allows you to fill-out your appointment forms online, then the completed forms are automatically sent to Allied for processing.

To complete your appointment, please follow these steps:

1. From the list of links below, select the form(s) needed for your appointment.
2. You will then create an account with your email address and password. Please memorize this password for future access to this site.
3. Select a form and click on the link to the pdf .
4. When you have completed all of the required information, the form is displayed on screen for your approval. Then, you are prompted for your online signature.
5. Use your mouse to sign in the window where indicated. Your signature will be automatically added to the form.
6. Click the "DONE" button and the form is complete. The form is automatically sent to Allied for processing. Be sure to print out a copy for your records. Allied Underwriting and Administrative Services will contact you if any further information is required.

Fill-N-Sign Appointment and Commission Forms are
Currently Under Construction
and Not Available.
Please check back later.

*If this is your first carrier appointment with Allied, you must fill out the Allied commission agreement and W9 forms to authorize commission payment.  You must also submit photocopies of your current state license by email, fax, or mail:
Email:  uas@alliednational.com
Fax:  913-945-4397
Mail:  Licensing
          Allied National
          P.O. Box 29187
          Shawnee Mission, KS 66201-9187

> Download Appointment Forms

Downloadable version of appointment forms.  Print, then fill-out and submit by mail.

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