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Foreign Account Tax Compliance Act (FATCA) Forms

Foreign Account Tax Compliance Act (FATCA) is a U.S. law designed to prevent tax evasion by U.S. taxpayers through the use of offshore accounts and companies. FATCA is generally focused on “foreign financial institutions” such as banks, custodians, trust companies, life insurance companies and asset management firms. However, FATCA also affects insurance clients, insurance brokers and insurance carriers.

Gallagher and its subsidiaries are FATCA compliant.

FATCA is a complex law. Please consult your tax advisor to determine how FATCA may apply to your situation. In order to assist our clients and their obligations under FATCA legislation we are making available the following FATCA forms:


Arthur J. Gallagher (UK) Limited - W-8IMY Form

Arthur J. Gallagher Insurance Brokers Limited - W-8IMY Form

Capsicum Reinsurance Brokers No. 5 LLP

Capsicum Reinsurance Brokers No. 3 LLP

Capsicum Reinsurance Brokers No. 4LLP

Contego Underwriting Limited - W-8IMY Form

Gallagher International Reinsurance Broking Limited - W-8IMY Form

Giles Insurance Brokers Limited – W-8IMY

Heath Lambert Limited - W-8IMY Form

Ink Underwriting Agencies Limited - W-8IMY Form

OIM Underwriting Limited - W-8IMY Form

Oval Insurance Broking Limited - W-8IMY Form

Rossborough Healthcare International Limited - W-8IMY Form




For any FATCA related questions and any issues relating to FATCA forms please contact