Apply Now To Become An Introducer Application

Apply to become an Introducer for Protectionhelp by filling out the form below.

Home Introducers Area Introducer Application Apply Now

Step 1 of 8 - Contact Details

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Basic Details

Company Name(Required)

*(including subsidiaries or trading names, if applicable)

Postal Address

Address Line 1(Required)

Address Line 1

Address Line 2

City(Required)

City

County(Required)

County

Postcode(Required)

Postcode

Lead Contact Details

Title(Required)

Title

First Name(Required)

First Name

Last Name(Required)

Last Name

Telephone Number(Required)

Telephone Number

Role(Required)

Role

Company Website URL(Required)

Company Website URL

Your Email(Required)

Your Email

Trading Status of the Business(Required)

Trading Status of the Business

Sole Trader

PLC

Limited Company

Partnership

Part of a Group

Other

Company Registration Number (if applicable)

Your Status: Authorisation and Regulation

Is the company authorised and/or regulated by the FCA?(Required)

Is the company authorised and/or regulated by the FCA?

Yes

Please give the Firm Reference Number (FRN)

Have you ever had an appointment as an Introducer or Appointed Representative terminated?(Required)

Have you ever had an appointment as an Introducer or Appointed Representative terminated?

Yes

Please state which:

Are you a Member of a Network?(Required)

Are you a Member of a Network?

Yes

Please state which:

Are you a Member of any Professional Trade Organisations/Bodies?(Required)

Are you a Member of any Professional Trade Organisations/Bodies?

Yes

Please state which:

Have you ever been investigated, publicly censored, disciplined, suspended or expelled by the FCA, another regulator, a professional body?(Required)

Have you ever been investigated, publicly censored, disciplined, suspended or expelled by the FCA, another regulator, a professional body?

Yes

Please give details:

Are you currently the subject of any disciplinary proceedings by the FCA, another regulator, a professional body, a trade body or a government body or agency?(Required)

Are you currently the subject of any disciplinary proceedings by the FCA, another regulator, a professional body, a trade body or a government body or agency?

Yes

Please give details:

Are you currently or have you been the subject of any investigation by the FCA, another regulator, a professional body, a trade body or a government body or agency which has led to a requirement or undertaking significant remedial action, a past business review, customer remediation programme or the engagement of skilled persons?(Required)

Yes

Please give details:

Have you had any application for membership of any Professional Trade Organisations/Bodies refused, cancelled, declined or withdrawn?(Required)

Have you had any application for membership of any Professional Trade Organisations/Bodies refused, cancelled, declined or withdrawn?

Yes

Please state which one and the reason:

Are you exempt from authorisation and regulation by the Financial Conduct Authority?(Required)

Are you exempt from authorisation and regulation by the Financial Conduct Authority?

Yes

Are you a member of a Designated Professional Body (DPB)?(Required)

Are you a member of a Designated Professional Body (DPB)?

Yes

Please state DPB and Reference Number:

Do you have external compliance support (e.g. from a consultant, service provider or similar)?(Required)

Do you have external compliance support (e.g. from a consultant, service provider or similar)?

Yes

Please give details:

Does your firm or network have the permissions and service to undertake Pension Transfer advice?(Required)

Does your firm or network have the permissions and service to undertake Pension Transfer advice?

Yes

Do you have Network permission to introduce cases outside of the Network?(Required)

Do you have Network permission to introduce cases outside of the Network?

Yes

Your Business

When was the business established?(Required)

When was the business established?

DD slash MM slash YYYY

Number of Staff:(Required)

Number of Staff:

Number of Advisers:(Required)

Number of Advisers:

Number of Active Clients:(Required)

Number of Active Clients:

Approximate value of Assets under Administration:(Required)

Approximate value of Assets under Administration (£):

Please briefly describe your business model, including the services you provide and how these are distributed:(Required)

Please briefly describe your business model, including the services you provide and how these are distributed:

Please describe how you generate new clients (e.g. use of lead generators, word of mouth recommendations, etc.) and confirm how these apply to the clients you intend to introduce to Pensionhelp.(Required)

Please describe how you generate new clients (e.g. use of lead generators, word of mouth recommendations, etc.) and confirm how these apply to the clients you intend to introduce to Pensionhelp.

About Your Business

Insurance

Do you have your own Professional Indemnity Insurance in place?(Required)

Do you have your own Professional Indemnity Insurance in place?

Yes

Limit on Indemnity:

Yes

Any One Claim

In the Aggregate

Amount of Deductible, Excess or any self insured amount:

Are there any advice areas that are specifically excluded from your Professional Indemnity Insurance?(Required)

Are there any advice areas that are specifically excluded from your Professional Indemnity Insurance?

Yes

Please provide details of any exclusions

Has any Claim ever been made under your PI or D&O policy(ies) in the past two years?(Required)

Has any Claim ever been made under your PI or D&O policy(ies) in the past two years?

Yes

Please provide brief details:

Has it been necessary for you to advise your PI Insurers of any circumstances which you believed might give rise to a Claim under the policy, even if this subsequently did not happen?(Required)

Has it been necessary for you to advise your PI Insurers of any circumstances which you believed might give rise to a Claim under the policy, even if this subsequently did not happen?

Yes

Please provide brief details:

Complaints

Please confirm the number of complaints received by your firm in the last 2 years.

The total number of complaints received:(Required)

The total number of complaints received:

The number of complaints upheld by your firm:(Required)

The number of complaints upheld by your firm:

The number of complaints referred to the Financial Ombudsman Service (FOS):(Required)

The number of complaints referred to the Financial Ombudsman Service (FOS):

The number of complaints upheld by FOS:(Required)

The number of complaints upheld by FOS:

The number of complaints (whether upheld or not) which relate to any aspect of the ongoing servicing of assets held within a pension scheme:(Required)

The number of complaints (whether upheld or not) which relate to any aspect of the ongoing servicing of assets held within a pension scheme:

About Your People

Please provide details of all Relevant Directors, Partners, Executives, Senior Employees (including Advisers and the Person Responsible for Compliance). Where relevant, please provide the person's FCA Individual Reference Number (IRN): Please indicate if the individual will refer business to Pensionhelp so we can set up a Login for our introducer website.

Person One

Person One Title(Required)

Title

Person One First Name(Required)

First Name

Person One Last Name(Required)

Last Name

Person One IRN(Required)

IRN

Person One Role or Title(Required)

Role / Title

Person One Email(Required)

Person One Business Referrer?(Required)

Business Referrer

Yes

Person Two

Person Two Title

Title

Person Two First Name

First Name

Person Two Last Name

Last Name

Person Two IRN

IRN

Person Two Role or Title

Role / Title

Person Two Email

Person Two Business Referrer?

Business Referrer

Yes

Person Three

Person Three Title

Title

Person Three First Name

First Name

Person Three Last Name

Last Name

Person Three IRN

IRN

Person Three Role or Title

Role / Title

Person Three Email

Person Three Business Referrer?

Business Referrer

Yes

Additional People

If you would like to add more people please provide their details below.

Has any Director, Partner, Executive or Senior employee been convicted of any dishonest or fraudulent act, or implicated in such an act by a legally constituted court by Court of Justice?(Required)

Has any Director, Partner, Executive or Senior employee been convicted of any dishonest or fraudulent act, or implicated in such an act by a legally constituted court by Court of Justice?

Yes

Please provide details:

Has any Director, Partner, Executive or Senior employee subject to any current criminal proceeding?(Required)

Has any Director, Partner, Executive or Senior employee subject to any current criminal proceeding?

Yes

Please provide details:

Has any Director, Partner, Executive or Senior employee ever been given a caution in relation to any criminal offence?(Required)

Has any Director, Partner, Executive or Senior employee ever been given a caution in relation to any criminal offence?

Yes

Please provide details:

Has any Director, Partner, Executive or Senior employee ever had a County Court Judgement (“CCJ”) or other judgement debt, whether satisfied or not and whether discharged or not, or aware of any proceeding that have begun, or anybody’s intention to begin proceedings?(Required)

Yes

Please provide details:

Has any Director, Partner, Executive or Senior employee ever been, the subject of an action or any bankruptcy proceedings, or proceedings for the sequestration of your/Company estate?(Required)

Has any Director, Partner, Executive or Senior employee ever been, the subject of an action or any bankruptcy proceedings, or proceedings for the sequestration of your/Company estate?

Yes

Please provide details:

Has any Director, Partner, Executive or Senior employee ever been put into liquidation, wound up, ceased trading, had a receiver or administrator appointed or entered into any voluntary arrangement with creditors?(Required)

Yes

Please provide details:

Has any Director, Partner, Executive or Senior employee ever been adjudged by a court liable for any fraud, misfeasance, wrongful trading or other misconduct?(Required)

Has any Director, Partner, Executive or Senior employee ever been adjudged by a court liable for any fraud, misfeasance, wrongful trading or other misconduct?

Yes

Please provide details:

Key Contacts (If Applicable)

Please indicate any other key contacts for Pensionhelp:

Key Contact One

Key Contact One Title

Title

Key Contact One First Name

First Name

Key Contact One Last Name

Last Name

Key Contact One Role or Title

Role / Title

Key Contact One Email

Key Contact One Phone

Telephone Number

Key Contact Two

Key Contact Two Title

Title

Key Contact Two First Name

First Name

Key Contact Two Last Name

Last Name

Key Contact Two Role or Title

Role / Title

Key Contact Two Email

Key Contact Two Phone

Telephone Number

Introducer Payments

If you wish to receive an Introducer Payment via BACS, please provide us with the appropriate bank details below. Please also provide a bank statement / crossed cheque for this account. We require this to confirm the details of the account and that it belongs to your firm. We will return the document to you.

Do you wish to receive payments for introductions made to Protectionhelp?(Required)

Do you wish to receive payments for introductions made to Protectionhelp?

Yes

Account Details

Please use this link to upload details of the relevant Bank Account to allow us to verify it. (eg a void cheque or bank statement)

Max. file size: 64 MB.

Additional Information

Declaration

Please Note: Protectionhelp is a trading style of Pensionhelp Ltd. It should not be assumed that information is known to Pensionhelp Ltd by virtue of the fact it is in the public domain or has previously been disclosed to us. If there is any doubt about the relevance of information, it should be included.

For the purpose of complying with the General Data Protection Register, any personal information provided in this Form will be used by Pensionhelp Ltd only as a means of due diligence as part of the application process to become an introducer to our trading style Protectionhelp. The information within this form will not be disclosed for any purpose without the permission of the applicant Unless we are obligated to make a disclosure to a regulator or similar authority.

Pensionhelp Ltd may seek to verify the information given in this form including answers relating to the fitness and propriety of the business or its people.

Statement

In signing the form below: I warrant that I have the authority to provide the information above and to enter into the application to be an Introducer of Clients to Protectionhelp, and that I have read and agree with the Protectionhelp Introducer Privacy Notice.

I authorise the Principal firm of Protectionhelp (Pensionhelp Ltd) to make such enquiries and seek information as it believes necessary in the course of verifying the information provided in this form.

I confirm that the information provided in this form is accurate and complete to the best of my knowledge and belief.

I undertake to advise Pensionhelp Ltd in writing of any changes in circumstances in respect of the information provided in this form including but not limited to:

Any changes of address
Any changes of Directors, Partners, Executives or Senior Employees
A change in your regulated status
A change of principal or network
Your Company's insolvency, liquidiation, entering into an arrangement with creditors or a receiver being appointed
The bankruptcy of a Director, Partner, Executive or Senior Employee
If any Director, Partner, Executive or Senior Employee becomes subject to disciplinary or investigatory proceedings at the order of a professional body, trade association or regulatory body
Changes to your Professional Indemnity Insurance (such as a failure to obtain/renew such insurance, significant exclusions, etc.).
Changes to your Directors and Officers Insurance (such as a failure to obtain/renew such insurance, significant exclusions, etc.).

I agree to the declaration statement?(Required)

I agree to the declaration statement?

Yes

Form Signed First Name(Required)

First Name

Form Signed Last Name(Required)

Last Name

Contact Email Address(Required)

Contact Email Address

Enter Email Confirm Email

Policy Consent(Required)

I accept the terms presented in Protectionhelp's introducer privacy policy.(Required)

Click to view Protectionhelp's Introducer Privacy Notice.

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