For Appointed Agents Only i-Reli® is American Reliable’s 24/7 online policy administration system. Complete the form below for each person who will be accessing i-Reli. New ProfileChange Profile Agency Name Agency Code with American Reliable Insurance Company® DBA (if applicable): Agency Street Address: Agency City, State, ZIP Code: Agency Phone Number: Agency Email (if applicable): User First Name: User Last Name: User Email (if applicable): User Phone Number: Extension User Fax Number: New/Changed Access Requested By: Requester Phone Number: Extension Notes: Δ
