BRAVO Registration Form

New Bravo User?

The RSA Insurance BRAVO User Registration form is required for individual users within a registered broker to gain access to ePolicy & the Broker Portal.

If your brokerage is not currently registered to use the portal, please contact your WA Insurance Marketing Representative or Business Development Manager.

Upon completion of the form, RSA Insurance will contact you and your Broker’s Principal/Contact to complete the registration process, and provide you with a user id for accessing the portal.

*All fields and questions are required

I would like access to:
I am a:
My primary role is
I work with these product lines:

About you

About your brokerage

By checking “I agree,” you certify that all of the above information is correct and you have read and agree with the terms and conditions defined in the RSA Canada Broker Usage and Security Agreement.

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