Revoke authority

Financial service provider (FSP) details

FSP name (required)

FSP number (required)

The name of the individual or organisation whose authority is being revoked (required)

Details of the person making this request

My full name (required)

My email address (required)

If you're applying on behalf of an entity FSP named above

This request must be made by a senior person within the FSP (eg, director of the FSP).

My role within the entity FSP (required)

This form is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.