Get Security Access Application Form - Aviva Broker

Completing the Security Access Application Form for Aviva Broker is critical to ensure your vehicle details are accurately submitted to the Motor Insurance Database (MID). This guide will provide step-by-step instructions to help you fill out the form efficiently online.

Follow the steps to successfully complete the application form.

1. Click ‘Get Form’ button to obtain the form and open it for editing.
2. In Section 1A, enter your name and address in capital letters. Ensure that all details are correct as this information is vital for the processing of your application.
3. In Section 1B, provide your policy number, the expected number of vehicles, and the details of your branch handler, including their email address. If you are unsure about any details, please consult your broker or Aviva branch.
4. Move to Section 2 and fill in the contact details for the policyholder regarding the MID. Include the contact name, telephone number, fax number, and email address of the person responsible for this application.
5. If applicable, proceed to Section 2A to provide third-party details. This is necessary if a broker or third-party will submit your vehicle details on your behalf. Complete this section with their company name, address, contact name, telephone number, email address, and existing user ID if applicable.
6. In Section 3, respond to the questions regarding vehicle submission methods. Tick the appropriate boxes for questions that apply to your situation, as this will help the Aviva MID Helpdesk determine the best submission method for you.
7. In Section 4, create a user ID, enter a memorable email address, and establish a user pass-phrase along with a memorable question and its answer. This ensures compliance with data protection requirements and secures access to your vehicle details.
8. Review all the sections you have filled out for accuracy and completeness. It's essential to verify that each entry is correct before final submission.
9. Once you have completed and reviewed the application form, you can save changes, download a copy, print it, or share it as needed. Ensure you return the completed form to Aviva before the start date of your policy.

Complete your Security Access Application Form online today for efficient processing!