Request Access

In order to initiate the setup process, a designated Contact Person for your agency should complete the form below. The Contact Person should be the individual within the agency who will serve as the primary contact for questions regarding user set up as well as ongoing communication regarding the system. The person will generally be the personal lines manager, office manager, principal, or agency owner. We will communicate set up information primarily via email so it is important to provide an email address.

Please contact website support by email at signup@aegisfirst.com or call (800) 233-2160 if you have any questions or need assistance.

Aegis Agent Number:
Agency Name:
General Agent Affiliation (if known):
Contact Person:
	Last	First
Address:
City:
State:
Zip Code:
Desired Username:
Phone Number:
e-Mail:
Re-enter e-Mail:

All fields are required.

You will receive a response via email with your initial password and further instructions on setting up other users for your agency. If you have any questions, please send an email to signup@aegisfirst.com or call Support at (800) 233-2160.

Please note: If your agency has more than one agency number assigned by Aegis, you will need to complete the setup process for each agency number. If users will be set up under multiple agency numbers, a different username for each agency number is required.