Resources
John Martinez Insurance Agency, Inc.
Resources
Quick access to all carrier payment links and intake forms for your insurance needs
Secure Intake Forms & Document Submission
Complete our secure online forms to help us serve you quickly and accurately. These intake forms allow us to gather the necessary information, access applications on your behalf, and provide personalized insurance quotes. You may also upload required documents and authorize payments securely to ensure a smooth and hassle-free enrollment process.
This is an Intake form for out records which grants us permission to access your Marketplace application and send a quote. Please contact us for your attestation form to finalize your enrollment.
If you have completed an intake form and are NOT a U.S Citizen, then please upload legal immigration documents such as, but not limited to: Green Card, Employee Authorization Card, Machine Visa, etc.
A simple and secure form used to collect information for your Life or Final Expenses consultation, along with optional payment authorization allowing us to safely process health, auto, vision, dental, or other plan payments on your behalf.