Agent Information Step 1 of 4 25% Provide your Information to create an Insurance Agent Landing Page on the YBS websiteYour Personal InformationYour Name(Required) First Last Your Email Address(Required) Enter Email Confirm Email Your Mobile Phone(Required)Your Office Phone (if different)Years of Experience in the Insurance Industry(Required)Job TitleLicensed in which States (two character state codes separated by a comma and space)(Required)Licensed in which practices?(Required) Your NIPR #?(Required)Your National Insurance Producer Registry number...Your Scheduler URL to book appointmentssuch as: Calendly, Acuity, etc. Your Linkedin profile page? Your Facebook profile or business page? Upload Your Headshot Picture(Required)A *minimum* of 1280 wide x 1080 pixels high, jpg/jpeg format preferredAccepted file types: jpg, jpeg, png, Max. file size: 25 MB. State License DocumentsUpload the documents for your state(s) - JPG, PNG, WEBP, PDF formats acceptedAlabama (AL) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Alaska (AK) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Arizona (AZ) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Arkansas (AR) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. California (CA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Colorado (CO) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Connecticut (CT) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Delaware (DE) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. District of Columbia (DC) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Florida (FL) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Georgia (GA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Hawaii (GA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Idaho (ID) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Illinois (IL) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Indiana (IN) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Iowa (IA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Kansas (KS) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Kentucky (KY) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Louisiana (LA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Maine (ME) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Maryland (MD) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Massachusetts (MA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Michigan (MI) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Minnesota (MN) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Mississippi (MS) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Missouri (MO) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Montana (MT) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Nebraska (NE) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Nevada (NV) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. New Hampshire (NH) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. New Jersey (NJ) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. New Mexico (NM) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. New York (NY) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. North Carolina (NC) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. North Dakota (ND) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Ohio (OH) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Oklahoma (OK) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Oregon (OR) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Pennsylvania (PA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Rhode Island (RI) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. South Carolina (SC) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. South Dakota (SD) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Tennessee (TN) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Texas (TX) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Utah (UT) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Vermont (VT) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Virginia (VA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Washington (WA) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. West Virginia (WV) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Wisconsin (WI) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Wyoming (WY) License(s) Drop files here or Select files Accepted file types: jpg, png, webp, pdf, Max. file size: 500 MB, Max. files: 10. Your Agent Landing Page will be created in 2 business daysUnless we have questions about your submission.Any qeustions? Email ybsagent@infotechdesign.net for any questions.EmailThis field is for validation purposes and should be left unchanged. Δ Get Started Today! Find Out More
