Have a question? Call us toll free (877) 654-2327, or email info@surety1.com Mon -Fri., 8 am to 4:30 pm PST. 

All customer information we collect is protected by 256-bit SSL encryption.

I am an:*
Have you done business with Surety1 in the past?*

Contact Information

Contact Name*
We will contact you via email. Would you also like to receive a:*
We will use the phone number of the contact person for both text and phone messages.

Bond Information

For the remainder of the application, when a question asks for "your" information, it is referring to your client's information. Surety1 will not contact your client directly without your consent. Your client's personal information is required by the underwriters. 

Select Other if your bond type isn't listed.
Are you applying as an:*
Legal entity to be bonded. Please double check this information as this is exactly how it will appear on your bond. Check to see if it should read your name, and/or your DBA or your business name. If the bond is required for your license, the name on bond must match the name on license.
Do you deal in crypto currency?*
Business Type*
Address on Bond*
$
Effective Date*

About You

Name*
Are you married?*
Name of Spouse*
Home Address*
Are you a U.S. citizen?*
Please upload your legal resident card
No File Chosen
File uploads may not work on some mobile devices.
Partner Name*
Partner Address*
Are you Married? - Partner
Name of Spouse - Partner*

Lost Securities

Lost Securities Type*
Provide Check Number, Certificate Number(s), Number of Shares, Shares of XYZ
Entity requiring the bond: Name of Bank, Transfer Agent, etc.

License Information

Vehicle Information

Double check, this information is required on your bond and if it is not correct, there will be a $40.00 rider fee to correct a wrong VIN number.
Sedan, SUV, Motorcycle, etc.
Is there an existing lien on this vehicle?*
Have you tried to satisfy the lien?*

Tell Us About Your Import Business

The above is:*
Are there any Subsidiaries, Divisions or DBA's to be Named on the Bond?*
You Will Need to Have a Customs Broker Clearing your Entries.

Need help finding a customs broker? Obtaining a customs broker.

Have you EVER imported merchandise subject to anti-dumping duties?*
Is any of the merchandise listed on this CURRENT U.S. Custom Import Bond Application Subject to Anti-Dumping Duties*
Do You Have an Active Bond on File in ANY Port?*

ERISA Bonds

The Plan Sponsor is the organization or business that created and maintains the plan providing retirement or other benefits for its employees. For example, the Plan Sponsor of the ABC Company 401(k) Plan is the ABC Company. In some cases, however, the Plan Sponsor’s name may be different than the Plan Name.
$
Input "None" if no prior bond
Have there been any paid loses in the last three years?
$

Shipping Information

Shipping Options*
Shipping Address*
Please Ship my Bond To:*

You're Almost Done!

Have you ever been declined for this or any other bond?*
Have you or your company ever had a pending lawsuit, unpaid judgement lien, or bankruptcy?*
Do you or any of your companies have pending lawsuits, unsatisfied judgements, or liens?*
Have you or any of your companies been the subject of any legal or administrative proceedings resulting in disciplinary action?*
Has any prior surety company ever paid a claim, cancelled, refused renewal, or denied an application for any person with 20% or more ownership in the business?*
PDF Upload (optional)
No File Chosen
File uploads may not work on some mobile devices.
If you have a bond form or obligee letter you'd like to upload to our system, please attach it here. Or, you may fax it to 916-737-5737

Terms and Conditions

Any person who knowingly and with the intent to defraud any insurance company or person files and application containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime under applicable law, The applicants and indemnitors certify the truth of all statements in the application.

By submitting the application, you authorize AssuredPartners of California Insurance Services, LLC (Surety1) to provide information provided by you to the insurance companies represented by Surety1, along with any additional insurance companies or insurance intermediaries necessary to complete your application for surety bond(s), and / or insurance. You also authorize Surety1, the insurance companies represented by Surety1, along with any additional insurance companies or insurance intermediaries necessary to complete your application for surety bond(s), and/or insurance to request from one or multiple credit bureaus reporting agencies, your credit bureau report including any ancillary credit scores or ratings and to check your credit and employment history.

I have read the above and agree to the terms.*
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