Letter of Appointment Letter of Appointment Effective as at the date of this form, I appoint VIM Cover as our insurance broker to manage our insurance policy(s) listed below. The policy number(s) for VIM Cover to manage are also listed within this document. This appointment replaces any existing appointment in place between any other insurance broker. Whilst this letter of appointment is not on any letterhead, I attest to its authenticity and intent in my capacity as signatory of the company. Full Legal Name * Your position in the company * Full Company/Business Name * Company Address * Appointment Effective Date Enter the Policy Numbers for each policy being transferred to VIM Cover * Referred By Signature *