You must be contracted with Berlin & Denys Insurance to submit referrals. If you are not contracted, please click this link or call Lorrie Blandy at 800-946-3303 to get the needed contract.
Please check only the fields that you want your referral agent to propose. If not checked we will not propose coverage.
We will not discuss any P&C type business under any circumstances
Referring Agent Information
(Agent Referring the Client)