New Agent Account Request Form

What type of access do you need?

Thank you for your interest in accessing Chesapeake Employers’ Agent eServices portal.

Please provide the following information so we can get started with setting up your new eServices account:

Full Agency Appointment
(if not already appointed; must have Maryland firm license)

Individual Producer Appointment
(includes quoting access, only available to individuals with a Maryland producer license)

Non-licensed Producer Account
(view-only account access)