Solicitor Panel Application Form

Please fill in the below form and ensure that all supporting documentation is attached. Once submitted, it will be passed to our ATE team who will review and be in contact as soon as possible.

Alternatively, you can get in contact by clicking the below contact button with your enquiry.

  • 1) Practice General Details

  • 2) Contact Address for this Application

  • 3) Professional Indemnity Insurance Details (Please provide a copy of the Insurance certificate)

  • To the best of your knowledge and belief has any partner, director, shareholder or employee of the firm ever been: (If Yes provide full details in Additional Comments or on separate sheet.)

  • 4) Financial Crime Policies

  • 5) Information Distribution Directive (IDD) & General Data Protection Regulation (GDPR)

  • 6) Practice Volume of Cases per Annum per Type

    Please list below the ATE volumes per annum for Acasta European Insurance for each case type.

  • 7) Verification of Identity Reference Checks and Data Protection Waiver

  • Please note that to comply with current regulatory requirements Acasta European Insurance are required to know their client. You may be required, to provide additional information from time to time, which will verify your practice and its partners etc.

  • 8) Declaration and Authority to Acasta European Insurance Company Limited

    We declare that the statements and particulars contained within this application form including any attachments and the appendices are true and correct and we have not suppressed or misstated any facts. We agree that all details within this application form and any subsequent agreements shall form the basis of any contract affected thereon. We undertake to inform Acasta European Insurance of any material alteration to these facts occurring before the completion of any agreement or at any time thereafter. This application must be signed by a Partner or Director of the applicant firm in accordance with practice agreed mandates:

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