Become An Agent

Grow With Us

At Mangrove, we’re proud to support Florida’s independent agency channel by delivering stable capacity, responsive service, and a shared commitment to protecting Florida homeowners. We don’t work with everyone; we believe great things grow from the right partnerships.

We’re excited to open our voluntary program to a select group of experienced, forward-thinking agencies across the state. This is an opportunity to collaborate on sustainable, long-term solutions for Florida’s evolving insurance market.

If you’re passionate about serving your community and ready to grow with a partner who values transparency, innovation & trust we want to hear from you.

Agency Registration Form

Agency Info:

Agency Name *

Year Agency Started *

Agency Website *

Please enter a valid URL

Agency Address Street *

Agency City *

Agency State *

Agency Zip Code *

Please enter a valid numeric Zip Code

Agency County *

Agency Email *

Please enter a valid email address

Agency Phone Number *

Please enter a valid phone number

Terminated by carrier in last 5 years?

Yes No

Office Locations:

Do you have more than one location? *

Yes No

Office 2

Agency Name

Agency Address

Agency County

Agency Phone

Agency Principal Name

Agency Principal Email

Office 3

Agency Name

Agency Address

Agency County

Agency Phone

Agency Principal Name

Agency Principal Email

Contact Info:

Agency Principal Name * First

Last

Agency Principal Email *

Phone *

Agency Details

Agency Book Size *

Personal Lines % *

Commercial Lines % *

Top 3 Admitted Personal Lines Carriers

Carrier Name #1 *

Carrier Name #2 *

Carrier Name #3 *

Which Counties Are Your Primary Focus? *

Select Counties...

How Did You Hear About Us? *

Would you like to mention anything else about your agency?

Become An Agent

Agency Info:

Office Locations:

Office 2

Office 3

Contact Info:

Agency Details

Top 3 Admitted Personal Lines Carriers

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