Agent registration

Fill the form below to create an account.

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Liability Waiver and Release

PLEASE READ CAREFULLY BEFORE PROCEEDING

This Liability Waiver and Release (“Agreement”) is entered into by and between the registered agent (“Participant”) and US Agent Registry (“Company”).

1. Assumption of Risk

Participant understands and acknowledges that participation in insurance-related activities carries inherent risks, including but not limited to financial risk, regulatory compliance obligations, and professional liability.

2. Release of Liability

Participant hereby releases, waives, and discharges the Company, along with its owners, officers, employees, and affiliates, from any and all claims, liabilities, damages, or causes of action arising out of or related to the Participant’s use of the platform or services.

3. Indemnification

Participant agrees to indemnify, defend, and hold harmless the Company from and against any claims, losses, damages, liabilities, or expenses resulting from their actions, conduct, or use of the platform.

4. Professional Conduct

Participant agrees to operate in full compliance with all applicable federal and state laws, maintain a valid life & health insurance license, and conduct business with honesty, integrity, and professionalism at all times.

5. Data Privacy

Participant acknowledges that personal and professional information may be collected, stored, and used in accordance with the Company’s Privacy Policy and applicable data protection laws.


By proceeding, I confirm that I have read, understood, and agree to be bound by the terms of this Agreement.

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Registration Fee
$99
A one-time registration fee of $99 is required to activate your account and complete your profile setup.

After activation, a recurring subscription of $19.99/month will begin the following month to keep your account active and accessible.