Lead Intake General

Small Commercial Lead General Form

Thank you for your submission.

If you transferred your customer to the BL Sales Center or are working with a Rep already, here's what you can expect:

1. We'll work with your client to ensure we have a product that's tailored to their business needs.

2. We'll let you know if we're able to provide your customer with a policy or if their business was out of our appetite.



If you did not connect your customer with the BLSC, here's what you can expect:

1. Our team will let you know we received your submission.

2. We'll contact your referral within 24 hours.

3. We'll let you know if we're able to provide your referral with a policy or if their business was out of our appetite.

Agency Information

Agency Code required

*Acknowledgement of lead submission will be sent via text to the above provided number.

Producer Name required
Produer Email required

*Notification of lead outcome will be sent to above provided email

Prospective Customer

Insured Name required
First Name required
Last Name required
Phone Number required
Customer Email required
State required

Business Operation

Business Type required
Coverage required

* All fields with an asterisk are required.

Appetite and Program Resources

Have questions? Click here to check the more small business appetite guide or here to learn more about the program.