Agent Release Request

TopFlight – Agent Release Request

Agent Name

Email *

Agent NPN

List of carriers you are requesting a release from, including the corresponding writing number for each carrier. Please use the Excel spreadsheet and upload the completed file below.

Complete List of Downlines (if any, and if a release is needed)

Our standard release periods apply, and a Reciprocal Release Form must be fully completed and returned. Please be advised that any agent who has received marketing funds, incentives, or event support from Topflight with the last 90 days is not eligible for a release.

If a release is denied for this reason, the agent may proceed with a self release directly through the carrier.

[email protected]

(470) 610 5710