AR Applications

IMPORTANT: To extend the ToBA we have with the principal firm to provide their ARs access to Everywhen products, we require this application form to be completed and sent to our Broker Development team. This application must be approved in writing by Everywhen prior to our trading with an AR, and does not commit us to entering into a trading agreement with the principal and the AR. The typical timescales for the AR application due diligence is 4 weeks. One of the Broker Development team will be in touch to acknowledge your application and confirm the next steps.

AR Application Form including MOVO

Principal Name

AR Name

Registered Office

AR Company Number

AR Size (GWP)

GWP % split - Commercial:

GWP % split - Personal:

Top Towergate products to be accessed:

Care, Medical and Education

Hospitality and Leisure

Lifestyle

Professional Indemnity

Property Owners

Transport Logistics and Specialist Motor

Other Specialisms

Anticipated Towergate support levels in first 12 months

Name *

Job Title

Telephone Number *

Email Address *

Consent for storing submitted data: I give permission to store and process my data and I give Towergate permission to contact me to discuss products and services. *

Yes