New Premium

Search ...

Toggle Navigation

Home
Search
New Premium
Bulk Premium
Query Dashboard
Reports
Help

Blue Flower

Please enter premium information

Broker Reference

Carrier Organisation

Account Period*

Tax type

Tax Authority

Tax Rate

Contract Period

Underwriting Year

Account Period start Date

Account Period End Date

Balance Amount Due Date

Amount Item

Broker Share Percentage

Broker Percentage

Insurer Share Percentage

CoInsurer Share Percentage

Items In Group Total

Thank you for your submission.

This is now passed to Authorisation

Submissions of this type, usually will take 4 hours query free.

Powered by BreezingForms

You are here:
Home
New Premium

Other Services

Tax Services
Inteligent Data Exchange
ICOS Services

Open Queries

Submission Error (50)
Risk validation (20)
Over Limit (15)
Submission Rejected (4)

Additional Premium

Add additional Section
Clone existing submission
Load submission template
Additional information

Submissions Progress

© 2021 IPOS