MidSouth Mutual Insurance Company is interested in forming mutually beneficial business relationships with professional independent insurance agencies and brokers. If you would like to explore setting up an agency appointment with MidSouth Mutual, please contact us at your earliest convenience.

If you have been in communication with us and are ready to move forward with an agency appointment, please complete the forms provided below and send the forms to MidSouth Mutual via the e-mail link provided below:

MidSouth Mutual - Agency Agreement Letter

MidSouth Mutual - Agency Agreement 8.27.2019

MidSouth Mutual - Producer Appointment Form

MidSouth Mutual - Blank W-9

Questions or Inquires About Agency Appointments? Please use form below.

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