Stride Insurance Group Broker Agency Application Form

Stride Insurance Group offers schemes to other brokers in the property insurance market and welcomes agency applications.

Please complete the form below to request an agency with Stride Insurance Group or click here to download and print the application form (Adobe Reader required).

Fields marked with an asterisk* are required information.

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Have you ever been refused or deferred the granting of an agency?:*
 
   
Please provide details of All Directors/Partners/Owners*
Name Date of Birth Residential Address Qualifications Insurance Experience (in years)
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Do you have sub agents and/or Appointed Representatives advising and arranging insurance on your behalf?*
 
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