Individual Agent Application
Licensed individual insurance agents may apply to receive exclusive consumer-initiated life-insurance leads through our platform.
Representing an agency? Apply as an agency instead.
Create Your Account First
To ensure your dashboard access is linked automatically when your application is approved, please use the Sign up / Login button at the top of the page to create your account, choose Sign up, using the same email you enter on this application. If you submit your application before registering, that's okay, just come back and sign up with the same email so your account is linked once you're approved.
Personal Information
Mailing Address
Licensing & Experience
Online Presence (Optional)
Lead Preferences
Veteran Family Advocates is an independent, for-profit educational and insurance referral service. We are not a nonprofit organization and are not affiliated with, endorsed by, or acting on behalf of the U.S. Department of Veterans Affairs, Department of Defense, or any government agency. We do not prepare, file, or determine eligibility for VA benefit claims. Official VA benefit information and assistance from accredited representatives may be available at no cost.