Confirmation of a proposed appointment to a senior position

This form should be completed to confirm to Lloyd's that an FSA Approved Persons application has been approved.

Please note that all fields are mandatory. A confirmation page will appear upon successful completion of this form.


Confirmation of a proposed appointment to a senior position
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 12 Sep 2008