YG General - Letter of Appointment

YG General

Email: insurance@yourgeneration.co.nz
Letter of Appointment
To the insurers Concerned

This letter confirms that YG General has our authority to act as our insurance brokers effective from the date undersigned.

This authority replaces and revokes any previous authorities given, or implied, to any agent or broker previously handling our business and in particular to:

We acknowledge that the Insurers with whom you place our business will provide consideration to you for doing so. We consent to this.

This authority relates to
Client Name 1*

First NameLast Name
Signature*

Clear
Date*

DayMonthYear
Date
Email*
example@example.com
Contact Number*
Client Name 2

First NameLast Name
Signature

Clear
Date

DayMonthYear
Date
Should be Empty: