Partner Referral Form

Submit a Lead

Know someone who needs insurance? Fill out the form below and we will reach out within one business day with a personalized quote — no pressure, no obligation.

Client Information

Enter the details of the person you are referring.

This helps us track where the lead came from.

Questions?

Reach out to Clayton directly if you have any questions about a referral or want to discuss a client's needs before submitting.

(470) 961-7810[email protected]

What Happens Next?

  1. 1We receive your referral instantly via our CRM.
  2. 2A CJMS agent reaches out within one business day.
  3. 3We shop 20+ carriers to find the best rate.
  4. 4Your client gets a personalized, no-pressure quote.

We Cover

  • Auto
  • Home
  • Life
  • Business
  • Employee Benefits
  • Renters
  • Umbrella