+44 1277 637580
Corporate Business Travel Insurance (UK & EEA Employers)
Car Rental Insurance
EHIC in France Top-Up Cover
Permanent Home & Holiday Home Insurance
About Status Global Insurance
Meet The Team
FAQ – Travel Insurance
FAQ – Car Rental Insurance
FAQ – EHIC in France Top-Up Cover
FAQ – Golf Insurance
FAQ – Home Insurance & Holiday Home Insurance
News & Articles
Status Global Insurance Affiliate Application
If you are a human and are seeing this field, please leave it blank.
If you are interested in becoming a Status Global Insurance affiliate, please complete the following application:
Name of Organisation:
Skype Address (if applicable):
Please select the products you are interested in being an affiliate for:
EHIC in France
European Health Cash Plan
Expat Health Insurance
Primary Business Activities:
How long have you been in business?
If you have been in business less than 2 years, please provide information about previous experience:
Are you regulated under any statutory Or Professional Body?
If you answered 'yes' to the above question, please provide details:
Do you have Professional Indemnity Insurance?
If you answered 'yes' to the the above question, please provide the name of your insurance company, policy number, and date of policy expiration:
Have you ever had an agency terminated or declined?
If you answered 'yes' to the above question, please give details:
Please give the name of two other Agencies that you hold:
Do you wish to place a link between our Websites?
Please read the
terms & conditions
I acknowledge that I have read this agreement and agree to all its terms and conditions. I also Confirm that the information given above is correct.:
This form was completed by:
Position in Company:
Anti-Spam Question - What is 2+5=