Far from standard.

Agency Application Form

Opening an agency with Plum is a quick and simple process which will give you access to our products.

Please complete the form below. If you require any assistance or further information, please call us on 0845 450 4940 or email agency@plum-underwriting.com.


REG membership

We request that all our UK brokers join REG which allows us to complete our due diligence quickly and efficiently. REG also allows us to exchange TOBAs and any future addenda electronically. REG is completely free to join and use for our brokers. Please go to www.reg.uk.com to set up an account if you do not already have one – this will only take a couple of minutes.

Yes we are registered No, We are not a UK FCA registered broker

The Applicant


Head/Registered office address inc postcode


Contact information:


Accounts correspondence address inc postcode: (if different from above)


Accounts contact information:


The Firm

Please give details of your Professional Indemnity insurance:


Associated Businesses

Is your business associated with or controlled by:


Directors & Principals

Has the business or any of its directors or principals:


Financial Information

Please provide the following names and addresses:

Your Bank

Your Accountants



Yes No

Which agencies do you currently use for the following classes of business:


Information required for online quotation facility set-up - "The Broker Centre"

Username and Password

Your username and password will be confirmed to you by email once your agency has been approved. The username can be shared by all members of staff. If you have more than one branch, we will issue one username per branch.

Information required for software house activation of eFlex and eLet products

Yes No

N.B. If you have more than 5 branches please provide information separately to agency@plum-underwriting.com

EDI Contact Information

Additional Information

Additional Information required from non-UK brokers


Declaration

I/we declare that all the information given in this application form is, to the best of my/our knowledge, true and complete. I/we agree that the completed form and any additional information I/we provide will be the basis of the agreement between me/us and Plum Underwriting Ltd should it be granted.

I confirm that I am authorised to complete and submit this Agency Application form on behalf of my company.

© Copyright @ 2017 Plum Underwriting Ltd. All rights reserved.
Plum Underwriting Ltd is authorised and regulated by the Financial Conduct Authority No 309166. Registered at 50 Fenchurch Street, London, EC3M 3JY. Company number 04509589.

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