• Agent Appointment Form

    Select link below to download and fill out the "Agent Appointment Form" and send to Lexington



    OR, USE THE WEB BASED FORM BELOW


    ON-LINE AGENT APPOINTMENT ENTRY
    Note, A valid copy of both your Driver’s and Bail License will need to be provided to Lexington by fax or EMail along with filling out the application

  • Background Check Authorization

  • By my typing my name below, I certify the information I provided on and in connection with this form is true, accurate and complete and I am authorizing Lexington National to run a criminal background check pertaining to me.
  • ***MUST INCLUDE COPY OF BAIL LICENSE & DRIVER'S LICENSE***

  • EMail or Fax a copy of your to Driver’s and Bail License to Lexington National at:

    Email : Jarre Weinstein at "JWeinstein@lexingtonnational.com"
    Fax : 410-625-0865
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