6312 SW Capitol Hwy #437
Portland, OR 97239

Fax: 503-892-7376

Get Appointed

Thank you for your interest in doing business with XS Specialty LLC.

To be considered for an agency appointment, please submit the following items to johnp@wordpress-766698-2616786.cloudwaysapps.com

  • Application for Agency Appointment
  • Form W-9
  • Copy of current agency license(s)
  • Copy of current E&O declaration

Contact & File Submission Form

We would love to hear from you! Please fill out this form and we will get in touch with you shortly.

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