Agent Registration

New Producer account registration

Registration is only available for new Producer accounts. You will not be able to register if you have an existing Producer number with Foresters.

Please refer to the New Producer account registration eligibility guide.

Please enter the following information to register for a new Producer account and obtain your Foresters Producer number.

You have 20 minutes to complete all 3 pages of this registration form.

All fields are required unless otherwise indicated.

User agreement

By continuing to submit information via this form, you hereby agree and/or acknowledge that:

• You are solely responsible for entering accurate, truthful and lawful information

• This is only an application, and that Foresters retains complete
discretion to approve or deny your application immediately or in the future

• No accounts or policies are guaranteed to receive approval as a result
of submitting the requested information

• You release Foresters from any liability with respect to its processing
of the information you submit

I agree to the User agreement above as well as to the ezbiz General Disclaimer and Terms of Use. I understand I will be asked to read and agree to these terms again when I log in to ezbiz.

Social Security Number Please enter Social Security Number

Please enter numbers only (no spaces or dashes)

Direct upline Producer number Please enter Upline Number This service is unavailable for the upline Producer number that you entered. Please contact your upline for assistance.