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 at liunderwriting@aviva.com. You can also get in touch to check if your firm is already registered.

Fields marked with* are mandatory

Firm name and address

Name of firm*

true

Please enter the firm name

orgName

Please enter a valid firm name

Business type

SolicitorLicensed Conveyancer

true

Please select your business type

addressLine

Please select a valid business type

Building name *

false

addressLine

Please enter a valid building name

Building number*

true

Please enter a building name or number

addressLine

Please enter a valid building name or number

Postcode*

true

Please enter your postcode

postcode

Please enter a valid postcode

Address Line 1*

true

Please enter a valid address

addressLine

Please enter a valid address

Address Line 2

true

Please enter a valid address

addressLine

Please enter a valid address

Address Line 3

true

Please enter a valid address

addressLine

Please enter a valid address

Town*

town

true

Please enter a valid address

addressLine

Please enter a valid address

County

true

Please enter a valid address

addressLine

Please enter a valid address

Save address

Edit address

SRA / EPF / FCA Registration Number

false

numeric

Please enter a valid registration number

Contact details

DX number

false

alphaNumericSpaces

Please enter a valid DX number

Fax number

false

phoneWithSpace

Please enter a valid fax number

Office phone number*

true

Please enter your office phone number

phoneWithSpace

Please enter a valid office phone number

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.

Forename*

true

Please enter your forename

name

Please enter a valid forename

Surname*

true

Please enter your surname

surname

Please enter a valid surname

Email Address*

true

Please enter your email address

email

Please enter a valid email address

Confirm Email Address*

true

Please confirm your email address

email

Please enter a valid email address

emailAddress

The email addresses you have entered do not match

Confirmation

Confirm that you have read and accepted our Terms of Use.

YesNo

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

You must agree to the Terms of Use to register