For Agents

Online Applications
  • WestPac now has the capability to accept applications completed online. Please select the application below, complete, and use the “submit” button at the bottom of the page. A WestPac representative will be in touch shortly with an acknowledgment that your application was received.
  • In addition to submitting a Supplemental Application, we ask that you please upload Acord Applications, Loss Runs, and any other pertinent information about your risk here:


Submission Checklist
    • Required Items
      • Acord 125 and 126 forms for GL coverage. Include Acord Forms 131, 140, and 146 also required if Umbrella, Property and Inland Marine are needed. (Also send copies of underlying policies if Umbrella is needed)
      • Supplemental Application – includes detailed descriptions of operations.
      • 5 Years Currently Valued Loss Runs
      • Prior carrier history including effective and expiration dates.
    • Helpful Information
      • Prior policy premium(s)
      • Target premium for upcoming policy
      • Copies of the insured’s current policies
      • Company financials
      • Resumes of company principles
      • Detailed descriptions of any losses
Become a Producer
      • WestPac works with Independent Insurance Agencies across the United States. At this time, we are accepting new appointments and would love the opportunity to work for your agency. For more information about our company and an appointment, please contact:
Accounting and Financing Information
      • Policy Financing
        • WestPac partners with various third party financing vendors to provide completive rates and payment term options. Not only this, but we work with our companies to also offer payment plans for audits and additional premium endorsements. While we understand most Independent Agencies utilize their own finance company vendors, our company’s rates/terms are meant to provide our agents with significant competitive advantages when selling that they may not have themselves.If you would like finance quote for one of our quoted risks or have any accounting/billing questions, please contact:
Marketing Material
Western Pacific is happy to assist its agents in their marketing efforts in any way possible. Presentations at industry functions, assisting agents with qualifying leads, and the development of marketing materials are among many strategies we implement in order to help our agents send their message to their clients. Below is a list of WestPac’s current marketing flyers, tailor made to specific products. We are happy to re-develop and re-brand these for our appointed agents, simply contact Eric Richter ( for more information:
Email Subscriptions
Western Pacific sends regular e-blast marketing messages to its agents, updating them with current products, industry news, and other various pieces of information. To subscribe to our email list, please complete the below.