Agency Application Form
We are delighted that you are interested in becoming an agent of Towergate Home & Protect.

Directly Authorised
If you are Directly Authorised and have not previously registered with Towergate Home & Protect, to proceed with your agency application please complete the following details.
If you already have a Home & Protect agency or wish to find out more about the benefits of using Home & Protect’s ‘Quote and Buy’ system, please contact our agency team on 0844 892 1524.

Additional Users
If you would like to add other users under your agency, please first complete your application and once submitted then email homeprotectenquiries@towergate.co.uk with the following information for each additional user:-
  • Full name(s)
  • Email address(s)
  • Contact number(s)
Appointed Representative
If you are an Appointed Representative and would like to know more about Home & Protect, please contact our Agency team on 0844 892 1524.
Please complete the following details. (Items marked as * are mandatory).

Business Details
  • Please enter your FSA Number and click on the "Search..." button.
  • If you are on our FSA register your Company details will get shown in the scrollable window below. If so, click on the relevant Company Name and the form provided below will automatically get populated.
  • If you are not on our register or if the details are incorrect / incomplete, please enter your details in the form below.
 *

Business Details
Company Name: *
Address: *
Town: *
County:
Select a County... 
*
Full Postcode: *
Telephone: *
Fax:
Principal business activity/occupation: *

Your Details
Full Name: *
Position Held: *
Are you authorised by the FSA to undertake insurance related activities?    
*
Email Address: *
How you heard about us: *