The Allied appointment system is simple! Simply fill-out your appointment forms, print, and then mail, fax or e-mail completed forms.

To complete your appointment, please follow these steps:

1. From the list of links below, Select a form and click on the link to the pdf .
2. When you have completed all of the required information, review for accuracy.
3. Print finished form and sign on the signature line.
4. Return completed form to one of the following:
   1. E-mail:  uas@alliednational.com
   2. Fax:  (913) 945-4397
   3. Mail:  Licensing
                Allied National
                P.O. Box 29187
                Shawnee Mission, KS 66201-9187

*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 e-mail, fax or mail:
Email:  uas@alliednational.com
Fax:  (913) 945-4397
Mail:  Licensing
           Allied National
           P.O. Box 29187
           Shawnee Mission, KS 66201-9187

                 Appointment & Commission Forms

Other Agent Forms