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Innovative Broker Expert Nomination Form 2026

Form Information

You can Save and complete your submission later by clicking on the ‘Save draft’ button at the end of the form.

Nomination - Innovative
Name of person submitting nomination
Name of person submitting nomination
First Name
Last Name
How many employees work in your Brokerage?
0 of 100 max words
0 of 500 max words
0 of 300 max words
0 of 300 max words
0 of 500 max words
Examples: Revenue growth New clients acquired Retention improvement Efficiency gains Time savings Claims improvements Customer satisfaction scores Cost reductions
0 of 300 max words
Consider: Internal teams Insurer partners Technology providers Industry bodies Clients
0 of 300 max words
Examples: Conference speaking Webinars Industry publications Podcasts Research Training delivery Industry working groups
0 of 300 max words
0 of 300 max words
0 of 100 max words
11. Please upload supporting documentation that demonstrates the success and impact of your innovation.

Maximum file size: 5MB