Apply to become a member of the MGAA

Please answer all questions below to the best of your ability, all responses will be kept strictly confidential for the benefit of MGAA only

How to apply

Please complete the below form to start the submission process

Please note, you can save your application and come back to it later should you not complete it. Just make sure you save your progress.

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Your Personal Details

Your Organisation Details

Your Organisation Details

Organisation's Ownership

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Type of Activity

Claims Handled

Your Organisation Details

Distribution Model

GWP Section

If your line of business does not appear in the list, please include in the comments section below along with insurer and number of years.

Please add multiple lines of business if appropriate.

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Information on relevant Contacts

Business Info

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Do you outsource your TOBA?*

Professional Indemnity Insurance

Supplier info

Market Practitioner information

Billing Info

Additional Comments?

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