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