New Agent Application

/New Agent Application
New Agent Application2017-02-23T13:35:28+00:00

New Agent Information

Before we can appoint you with or agency and carriers, we need to know a little more about you.  Please complete the form below to tell us about yourself.


About Us

Phillips Stafford Insurance Group is an independent insurance agency with office locations around Iowa. We specialize in working with business owners to protect, grow, and transition their business. We are also well equipped to handle all personal insurance needs.

Contact Info

2840 104th St, Urbandale, IA 50322

Phone: (515) 978-9010

Fax: 888-670-3251

Licensed in IA, AZ, KS, MN, MO, NE, OH, SD