Enhanced Indemnity - Transfer Request Form

To request to switch to Enhanced Indemnity commission please complete the transfer request from below. We will then check your details and send you Terms & Conditions to sign and return back to us.

Title*
Full Name*
Paymentshield Branch Number*
Company Name*
Postcode*
Telephone Number*
Email Address*
I expect my monthly submissions to Paymentshield to be in the region of:	cases
I confirm that I am the Controller for my Branch and am authorised to register for Enhanced Indemnity:	[tick box]

This page is intended solely for the attention of Directly Authorised or Exempt Firms as defined by the Financial Services Authority.

Paymentshield Limited (registered number 02728936) is a company registered in England and Wales at Paymentshield House, Southport Business Park, Wight Moss Way, Southport, PR8 4HQ. Telephone calls may be recorded for security purposes and monitored under our quality control procedures

Paymentshield Limited is authorised and regulated by the Financial Services Authority (FSA) under registration No. 312708. See www.fsa.gov.uk/register for further details