Online Application Form
To apply for your general insurance agency, please complete the form below.
Your data is protected by secure SSL encryption.
Click here to view our Terms Of Business Agreement – VERSION – 3rd May 2018.
Before submitting your application, you must read and agree to our Terms of Business Agreement.
Please print a copy for your records.
This form must only be completed by those firms who are directly authorised by the Financial Conduct Authority (FCA).
The person completing the form must be a Director (Limited Companies) or Principal / Partner and defined and registered as such on the FCA register. We will email confirmation of your agency number to the email address on the FCA register (or by post if there is no email address) once your application for a general insurance agency has been formally approved.