FAX to:  1-479-203-2020
All forms required to contract as an Agent.
This is a fillable form. Original signature required.
American Equity Investment Life AE Commission Schedule

This is a fillable form. Original signature required.
American Equity Investment Life contract for your corporation.
Corporate Agent's Contract Guarantee/Appointment Application

AVIVA Write Level I on the application.AVIVA Commission Schedule

LSW- Life of Southwest      LSW Commission Schedule

LibertyBankers Life--
One year fixed rate annuity 3.75%. Liquid after 1 year !! "Manage $$ no RIA."

NACOLA  California credit app.

E & O Insurance Plan Highlights

E&O insurance is required.
E & O Enrollment Form

Midland National Life Registered Rep. and Fixed Agent Contract Application

MNL commissions are .50% less than direct

Midland National California Credit Authorization form

RBC Insurance Fixed Annuities contracting 

Include a copy of your current license.

Release form is required if you have submitted business in the last six months.
Fax the release form to us after your FMO has signed.

Anti-Money Laundering certification is required with all companies.

AML Certified? Let us know with this.

Join the Do Not Call Registry and verify your calls.

Completed agent applications can be mailed to:
McLeod Agency  6401 Wingfield Way  Rogers AR 72758

Attention: By accepting a contract with The Jeff McLeod Agency you agree to split/co-sign applications on prospects generated and provided to you from The Jeff McLeod Agency.  A fifty percent split is common for newer prospects, however older leads that have been drip marketed are split on reduced percentages determined by this agency. I return agent calls after 3:30 pm cst.  I'm a working agent.  Prospecting is priority.
Pre-qualified,  Pre-sold  "Lead/Client Partnership Program."