Broker Compliance 2018

  • Company Details

    As part of our on-going compliance and for a continued service for our Broker Portal, please can you complete the following information. Failing to do so could result in your retraction of your ability to issue new policies. If you have any issues or would like assistance please contact or call us on 0800 668 1350.
  • Main Contact Details

  • Professional Indemnity Insurance Details


    To the best of your knowledge and belief have you or any director, shareholder, partner or employee of the firm ever been:

By submitting this application you are confirming that all information provided above is true and accurate to the best of your knowledge, and that any information gained from outside of the scope of your knowledge has been confirmed with the relevant parties.