Confirmation of amendment to, or termination of, a senior appointment

This form should be completed to confirm to Lloyd's that an amendment or termination to an individuals FSA Approved Persons status has been confirmed by the FSA.



Confirmation of amendment or termination a senior appointment
Name of underwriting agent
Title
First name
Middle name / Initial
Last name
Job title
Date of FSA approval
FSA Individual Reference Number
Contact details of person completing the form
Name
Job title
Email address
Telephone
Last updated on 14 May 2008