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: BRAVO system RSA Pro WebBusiness Broker experience reports I am a: RSA broker CNS broker WA broker My primary role is Principal/Managing Partner Producer I Service Business I Sell & Service Business Back Office/Data Entry Marketer Line/Area Manager Other I work with these product lines: RSA PI RSA SME RSA GSL CNS SME CNS PI WA PI About you First name: Last name: Email address: Security question: - Select - Childhood street name? Colour of first car? Favourite actor/actress/celebrity? Favourite band? Favourite board game? Favourite book character? Favourite dessert? Favourite song? First school? First boyfriend/girlfriend? Furthest place ever travelled? High school mascot? Pet’s name? Security answer: About your brokerage Brokerage name: Brokerage number: Brokerage address: City: Province: - Select - Alberta British Columbia Manitoba New Brunswick Newfoundland Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Postal code: Phone number: Brokerage principal: Principal’s email: Brokerage contact: Contact’s email: 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. I agree We want to make our site better. Please tell us how we're doing. Rate Us Footer Careers Media Accessibility Terms and Conditions Contact Us © 2021 Royal & Sun Alliance Insurance Company of Canada. All rights reserved. A member of Intact Financial Corporation. RSA, RSA & Design and related words and logos are trademarks and the property of RSA Insurance Group Limited, licensed for use by Royal & Sun Alliance Insurance Company of Canada. RSA is a trade name of Royal & Sun Alliance Insurance Company of Canada. © 2021 Western Assurance Company. All rights reserved. A member of Intact Financial Corporation. WA, WA & Design and related words and logos are trademarks and the property of Roins Holding Limited, licensed for use by Western Assurance Company. WA is a trade name of Western Assurance Company. © 2021 Canadian Northern Shield Insurance Company. All rights reserved. A member of Intact Financial Corporation. CNS, CNS & Design and related words and logos are trademarks and the property of RSA Insurance Group Limited, licensed for use by Canadian Northern Shield Insurance Company. CNS is a trade name of Canadian Northern Shield Insurance Company. www.rsagroup.ca