Please complete the below form in the following circumstances:
- To register as a new user to Halifax Intermediaries
- Request an additional payment route (mortgage club or network) on an existing account
- Amend the company details.
Before providing any personal information below, please view our Privacy Notice.
In certain cases we may need further information to complete our processes. If this is the case we will contact you via telephone or email.
Please note: Failure to provide this information or withdrawal of your application may jeopardise your relationship with other Lloyds Banking Group panels.