Register

About Your Business (Step 2/4)

Trading or Business Name

Trading Address Line 1

Trading Address Line 2

Post code

Primary Telephone Number

Primary Email Address

Accounts Email Address - Please provide the email address of the person responsible for account settlements

Name of person responsible for Compliance:

Compliance Telephone number:

Compliance Email Address:

Is this also your Registered Office?
—Please choose an option—YesNo

Website Address

Is your business registered with Companies House?
—Please choose an option—YesNo

Have you previously held a Commercial Express Agency?
—Please choose an option—YesNo

Why are you looking to set up a Commercial Express agency

What are your core trading products?

What is the anticipated GWP and volume of business you expect to place with Commercial Express:

Please indicate the size of your organisation?
—Please choose an option—Individual (Sole Trader)2-10 employees11-50 employees51-100 employees101-500 employeesOver 500 employees

How long has the business been trading for?
—Please choose an option—New Start UpLess than 1 Year1-5 YearsOver 5 Years

Have any Directors of the business, or any company in which they have held a senior position, been involved in liquidation, receivership, bankruptcy, dissolution, a high court writ, voluntary wind up orders, or is any similar procedure pending?
—Please choose an option—YesNo

Have any Directors of the business been convicted of any criminal offences, other than Motoring offences?
—Please choose an option—YesNo

Have any Directors of the business had provision of bond or fidelity guarantee in the past declined, terminated or restricted?
—Please choose an option—YesNo

Have any Directors of the business had an insurance agency or insurance agency application declined, terminated or restricted?
—Please choose an option—YesNo

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Regulatory Information (Step 3/4)

FCA Firm Reference Number

How do you hold Client or Insurer Monies?
—Please choose an option—Insurer Trust Account (Risk Transfer monies only)Statutory TrustNon-Statutory TrustDo not hold

Do you provide your own Direct Debit facility?
—Please choose an option—YesNo

Registration number for the Information Commissioners Office (ICO)

ICO Registration Expiry Date

Do you have the following procedures in place and do all staff receive annual training as a minimum

Financial crime (Including Anti-Bribery & Corruption, Anti-Money Laundering & Sanctions)
—Please choose an option—YesNo

Data Protection and Information Security
—Please choose an option—YesNo

Treating Customers Fairly
—Please choose an option—YesNo

Complaints Handling
—Please choose an option—YesNo

Are Sanctions checks carried out on all transactions including New Business, Renewals and Significant Changes
—Please choose an option—YesNo

Are Business continuity / disaster recovery plans in place and have these been successfully tested in the last 12 months
—Please choose an option—YesNo

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Additional Information (Step 4/4)

Professional Indemnity Insurance

Name of Insurer

Renewal Date

A copy of your PI Certificate will be required – please ensure this shows coverage type, limits, and excesses

Do you have any Sub Agents?
—Please choose an option—YesNo

Do you have any Appointed Representatives?
—Please choose an option—YesNo

Please provide details of your fee structure for all transactions. Alternatively, upload a copy of your client TOBA or documentation confirming this information:

If your application is successful, we will need to keep your business up to date with any changes to our Insurers, products, services or training materials. Details of any changes will be sent by email to the registered contacts we have for your business.
I Agree

Please confirm that to the best of your knowledge all questions have been answered truthfully.
I Agree

Please add any additional information and comments if required

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