BOOK A FREE CONSULTATION
Toggle navigation
BOOK A FREE CONSULTATION
Products
For Businesses
For Brokers
For Insurers
Case Studies
FAQs
Blog
About
Contact
Customer Log In BRIO
Professional Edition Application
@
Contact Details
Broker Name *
Contact Name *
Address *
Town *
County
Post Code *
Telephone *
Email *
Please answer the following Questions
What is your FCA Status? *
What is your FCA number? *
How many offices do you have? *
How many employees do you have? *
How many years have you been transacting General Insurance?
Do you sell insurance through sub agents? *
Please Select
Yes
No
Are you part of a network? *
Please Select
Yes
No
If Yes, please advise:
Have you been, or are you aware of any circumstances which may result in you being, subject to investigation or disciplinary action by a regulatory or professional body? *
Please Select
Yes
No
Have you been, or are aware of any circumstances which may result in you being refused membership of any professional, trade or regulatory body or had your registration of such a body revoked or suspended? *
Please Select
Yes
No
Have you been, or are you aware of any circumstances which may result in you being, the subject of a bankruptcy petition, an insolvency petition, an application to dissolve, the appointment of a receiver, administrator or trustee or entered into a composition or arrangement with creditors? *
Please Select
Yes
No
Are you registered under the Data Protection Act? *
Please Select
Yes
No
Do you have Professional Indemnity Insurance to cover your General Insurance activities? *
Please Select
Yes
No
Professional Indemnity Limit:
£
Professional Indemnity Excess:
£
Submit
