Click the link below to download a blank copy of the Reciprocal Release Agreement

At the top of the form, enter the date, the carriers that you wish to be released from, the name of the agency/FMO you are transitioning to, and your name in the spaces provided.

At the bottom of the form, the name, signature, and date fields must be completed by the associate requesting a release, and the agency their appointments are transitioning to.

Once both signatures have been applied, submit the form to the Licensing department for approval and counter signature. Submission must be made by logging a license & Appointment support ticket through https://sqsupport.com/