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Broker Enquiry
Brokers and Agents
Brit Insurance only deals with authorised brokers and
agents. If you wish to become a Brit approved intermediary,
please complete the enquiry form below.
Lloyd's broker directory
BIBA's find a broker web page
Enquiry Form
Title
*
Mr
Mrs
Miss
Ms
Dr
Other
Other Title
*
First Name
*
Last Name
*
Company
*
Address
*
Postcode
*
Telephone number
*
Email
*
Class of business
*
Please select all that apply
Accident and health
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Sub-class of business
*
Use the control or shift key to select one or more sub-class(es)
Nature of enquiry
*
Agency application
Information request
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Other
Comments/ Issue
*
All fields marked with a
*
are mandatory.
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