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Arcon Insurance Brokers
  • Practice Areas
    Specialized Insurance Programs

    Customized coverage for specialized businesses worldwide.

    Get InsuranceGet Insurance
    • National Work Comp Program
      National Work Comp Program
    • Life Sciences
      Life Sciences
    • Aerospace & Defense
      Aerospace & Defense
    • Technology
      Technology
    • Nutraceuticals
      Nutraceuticals
    • Life Sciences
    • National Work Comp Program
    • Aerospace & Defense
    • Technology
    • Nutraceuticals
  • About

    Our Company

    • About Us
    • Meet Our Team
    • Blog
    • Careers

    Get in Touch

    • Contact
    • Make Appointment

    California Office

    301 Bayview Cir, Ste 104-5126
    Newport Beach, California 92660
    Phone: 866-661-2345
    Get DirectionsGet Directions
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Agent of Record Form

Submit your policy information below to transfer your current policies to Arcon Insurance Brokers.

Agent of Record FormGravity Certs2025-10-21T17:22:14-07:00

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Account Type*
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Primary Insured Name*
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2nd Policy
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    I wish to name Arcon Insurance Brokers as our exclusive representative for the policy numbers entered above, currently in force or submitted by application. This authorization replaces any other authorization that may have been previously completed for any other insurance representative for the stated lines of business.*
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    Arcon Insurance Brokers

    Arcon Insurance Brokers

    301 Bayview Cir, Ste 104-5126
    Newport Beach, California 92660
    Phone: 866-661-2345
    Email: contact@arconinsurance.com

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    DISCLAIMER: Informational statements regarding insurance coverage are for general description purposes only. These statements do not amend, modify or supplement any insurance policy. Read your policy or consult with your agent for details. Your eligibility for particular products and services is subject to final underwriting and acceptance by the insurance company providing such products or services.

    This website does not make any representations that coverage does or does not exist for any particular claim or loss, or type of claim or loss, under any policy. Be sure to read the policy, including all endorsements, or prospectus, if applicable.

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    Insurance Fraud Statement

    Fraud is a crime

    If your application contains purposefully misleading, absent, or inaccurate information, you could be charged with fraud. Your insurance carrier could potentially void your policy, or you could face civil or criminal charges or penalties.

    Any person who knowingly and with intent to defraud any insurance company or other person, files an application for insurance or statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto, commits a fraudulent act, which is a crime.

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