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Check your APP Fraud Insurance Eligibility

Welcome to the APP Fraud Insurance eligibility application form - you will have received the link to this form after an initial call with Elmore Insurance Brokers and Green Swan Compliance.


The data collected in the form will be used as laid out in our privacy policy to assess your suitability for APP Reimbursement Insurance with a variety of underwriters at Lloyds.  


Please note that prior to finalising your quotation and the terms of your policy, a more detailed 'Fraud Control Health Assessment' will be required. Most of this assessment will be done digitally, and may include some video calls. In certain cases, an onsite visit and demonstrations of your systems, procedures, and controls may also be necessary.


Due to the complexity of the new regulations it may take 3-4 weeks to finalise your insurance cover, so we would advise early booking of your assessment. A small charge, payable in advance is made for the Fraud Control Health Assessment (typically 2k per 1m of insurance required). We appreciate that some of the data requested is potentially sensitive and in the event that your firm has a preferred secure data room for file sharing, please contact us should you wish to use such a facility rather than the file uploads available on this ISO27001 certified system.


Whilst we have endeavoured to make this form as straight forward as possible to complete we appreciate that filling in insurance forms are not always 'fun' - should you need some additional help and support on a video call please do contact us.


The information you provide on this form will be used to provide an indicative quotation and is not legally binding. However, the more accurate the information and the more complete the information you provide the more accurate the quotation.


We appreciate, understand and acknowledge that this form is in draft mode as we continue to finesse inline with the updated APP regulations.

1. Applicant Information

1.4. Is your Financial Institution listed under the PSR Special Directive 20 (SD20)?
Yes
No
1.6. Are you regulated by:
1.7. Have you provided a legal challenge to the PSR relating to your institution being included under Special Directive 20?
Yes
No

2. APP Fraud Compliance & Risk Management

2.1. Do you have a dedicated fraud monitoring team?
Yes
No
2.3. Are alerts monitored 24 /7?
Yes
No
2.7. How much Insurance cover in total are you seeking annually for APP Fraud Reimbursement over your monthly normal amounts?
2.8. What do you expect to be the main risk that you wish to have APP Reimbursement Insurance for?
2.14. Do you and your payment rails partner or sponsor block and blacklist all customers accounts when notified of an APP fraud by a customer?
Yes
No

3. APP Fraud Systems and Controls

3.6. Do you share APP fraud data with any other institutions to assist in fraud prevention and investigation?
Yes
No

4. APP Fraud Mitigation Methods

5. APP IT System Security

6. APP Transaction limits

7. Insurance

7.1. Do you have cyber insurance cover or other fraud insurance cover?
How much do you expect to increase your customer base over the next 12 months?

7.3. If you are a regulated Principle firm and have Agents/Distributors/Customers and you are responsible for their APP scam refunds and have imposed additional contractual terms on these Agents/Distributors/Customers, please provide the relevant contractual terms and conditions regarding APP deposits/insurance data reporting, service level agreement:

7.4. If you are an Agent/Distributor/Customer of a regulated Principle firm and have received Terms and Conditions from them relating to APP please upload:

8. Declaration

The information provided is to the best of my knowledge materially complete:

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