
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