It’s easy to register with us, just complete the form below and we’ll get in contact to see how we can help

Please provide as much detail as possible to enable a smooth registration process. All fields require completion.

IMPORTANT
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About You (1/4)

Your Full Name

Your Job Title

Your Contact Number

Your Email Address

About Your Business (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

Is this also your Registered Office?

Website Address

Is your business registered with Companies House?

Have you previously held a Commercial Express Agency?

Why are you looking to set up a Commercial Express agency

What are your core trading products?

Please indicate the size of your organisation?

How long has the business been trading for?

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?

Have any Directors of the business been convicted of any criminal offences, other than Motoring offences?

Have any Directors of the business had provision of bond or fidelity guarantee in the past declined, terminated or restricted?

Have any Directors of the business had an insurance agency or insurance agency application declined, terminated or restricted?

Regulatory Information (3/4)

FCA Firm Reference Number

How do you hold Client or Insurer Monies?

Do you provide your own Direct Debit facility?

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)

Data Protection and Information Security

Treating Customers Fairly

Complaints Handling

Are Sanctions checks carried out on all transactions including New Business, Renewals and Significant Changes

Are Business continuity / disaster recovery plans in place and have these been successfully tested in the last 12 months

Professional Indemnity Insurance (4/4)

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?

Do you have any Appointed Representatives?

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

We’d also like to keep you up to date with details of our latest news, corporate events and competitions. Please tell us which marketing updates you would like to receive and how by selecting the options:

Commercial Express news (EMAIL) Commercial Express news (POST) Corporate events Competitions NONE of the above