Become a Stoermer Agent

Thank you for your interest in working with Stoermer Insurance Brokers!

In order to set you up as a new agent, we’ll need the following (before issuance of your first account)

• New Agent Application  (click to download Word form) 
• Copy of your License(s)
• Copy of your E&O Declarations

Email Forms to Jason Stoermer (jason@stoermerco.com) 

Or, Mail the complete documents to:

Stoermer Insurance Brokers
6238 Far Hills Avenue
Dayton, Ohio 45459

Or Fax them to: (937) 433-5936