The Curtis Agency
5609 Medical Circle, L10
Madison, WI 53719
We can work from any current existing application.

To apply for coverage, please submit a completed application.  
In some cases a company specific application may be required.  

Please email, fax or mail completed PDF applications:

Fax: 800.930.4895

Mailing Address:
The Curtis Agency
5609 Medical Circle, L10
Madison, WI 53719
If needed, please complete the appropriate application below.