Registration: Your firm's details

Registration is simple and only takes a few minutes to complete. After you have filled in this online form, we will get in touch with you to confirm that registration has been successful

This form is for firms new to AVIVA. If your firm has already registered with us please do not use this form and instead contact our L.I.ON team on 0800 158 2234. You can also get in touch to check if your firm is already registered.

Fields marked with* are mandatory

Firm name and address

true
Please enter the firm name
orgName
Please enter a valid firm name
Information
true
Please select your business type
addressLine
Please select a valid business type
true
Please enter a building name or number
addressLine
Please enter a valid building name or number
true
Please enter your postcode
postcode
Please enter a valid postcode

false
numeric
Please enter a valid registration number
Information

Contact details

false
alphaNumericSpaces
Please enter a valid DX number
false
phoneWithSpace
Please enter a valid fax number
true
Please enter your office phone number
phoneWithSpace
Please enter a valid office phone number
Information

System administrator details

Please provide the name and email address of the person who will be your system administrator. We will contact this person regarding the management of this account. They will also be responsible for administering other users within your organisation.

true
Please enter your forename
name
Please enter a valid forename
true
Please enter your surname
surname
Please enter a valid surname
true
Please enter your email address
email
Please enter a valid email address
Information
true
Please confirm your email address
email
Please enter a valid email address
emailAddress
The email addresses you have entered do not match

Confirmation

true
You must agree to the Terms of Use to register
booleanYesNo
Please select 'Yes' to confirm
Yes
You must agree to the Terms of Use to register