ECIW — Smart Insurance Client Intake

For brokers & agents

Create Broker Account

Start managing carrier-grade intakes on ECIW. Free for now — no credit card.

Your full name

Agency / Brokerage Name

Shown on PDF intake packets and client share pages.

Work email address

Phone number (optional)

Broker verification

We verify broker status to protect client data in accordance with GLBA and state insurance regulations.

Are you a licensed Property & Casualty insurance broker or agent?

YesNo

Optional — helps us verify your status faster. You can also add this later from your profile.

State License Number (optional)

License State (optional)

Password

Confirm password

I have read and agree to the Terms of Service and Privacy Policy. I am a licensed insurance professional and authorized to collect client information.

Already have an account? Sign in here

← Back to home

Terms of ServicePrivacy PolicyWISP

Disclaimer: ECIW is a technology platform that assists licensed Property & Casualty brokers. ECIW does not sell insurance, provide advice, or bind coverage.

ECIW Systems

Efficient Client Intake Workflow Systems

Philadelphia, PA, USA

Support: help@eciw.us Phone: 215.645.2288