LIMOSS | DAM User Registration

Section 1

Details of the person who entered this data

Your First Name(s) *

Your Surname *

Your Email Address *

Your Position *

Section 2

Details of the person registering for DAM

Please submit one form per user

First Name(s) *

Surname *

Email Address *

Section 3

Details of the organisation registering for DAM

Full legal name of the organisation *

Is this organisation already signed up to DAM? *

Yes

No

Unsure

Organisation Type (select only one) *

Managing Agent

Broker

Coverholder

TPA/DCA

Auditor

Section 4

Does your organisation already have access to LIMOSS Single Sign On (SSO)? *

Yes

No

Unsure

LIMOSS SSO Authorised Contact

Please nominate a LIMOSS SSO 'Authorised Contact' for your organisation. This person will work with us to on-board your company and named users into LIMOSS Single Sign-On (SSO). They will be the first person on-boarded and can then provide us with details of other users who require a LIMOSS SSO account. All requests to add or remove users of LIMOSS SSO must be approved by an Authorised Contact. Additional Authorised Contacts can be nominated later in the on-boarding process.

LIMOSS SSO Authorised Contact name

LIMOSS SSO Authorised Contact email

LIMOSS SSO Authorised Contact job title

LIMOSS SSO Authorised Contact phone number

Select this box if you would like to add another Authorised Contact now.

LIMOSS SSO Authorised Contact first name *

LIMOSS SSO Authorised Contact last name *

LIMOSS SSO Authorised Contact email address *

Select this box if you would like to add another Authorised Contact now.

LIMOSS SSO Authorised Contact first name *

LIMOSS SSO Authorised Contact last name *

LIMOSS SSO Authorised Contact email address *

Select this box if you would like to add another Authorised Contact now.

LIMOSS SSO Authorised Contact first name *

LIMOSS SSO Authorised Contact last name *

LIMOSS SSO Authorised Contact email address *

By submitting this data, you are consenting that the data is used solely for the purposes of on-boarding your company and users onto DAM. Should you wish to withdraw your consent for us to use this data, please email confirming that your consent is withdrawn to [email protected]

DAM User Registration

DAM User Registration

Section 1

Details of the person who entered this data

Section 2

Details of the person registering for DAM

Section 3

Details of the organisation registering for DAM

Section 4

LIMOSS SSO Authorised Contact

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