Application for directly authorised firms who only want to refer business
Application for Directly Authorised Firms who want to refer business only. This form must only be completed by firms who are directly authorised by the Financial Conduct Authority (FCA).
If you need any help completing this form please contact our Intermediary Sales Team on 0345 0615 700 Mon-Fri 9:00am-5:00pm, use the webchat button at the bottom right of your screen or our contact form. All information supplied on this form will be checked. If we’re missing anything, we’ll contact you to let you know.
Please note that completion of this application form will provide access to Paymentshield referral proposition. All information supplied on this form will be subject to verification. We may require you to provide further information. False, inaccurate or misleading information will lead to the application being rejected. Completing this form in full will enable us to set up your agency and begin paying commission in a timely manner.
