Florida department of insurance license agent
[DOCX File]Preneed Sales Agent-Application for Agent License ...
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PRENEED SALES AGENT. Application for Agent License and Initial Appointment. Under Section 497.466, Florida Statutes. Before the Board of Funeral, Cemetery and Consumer Services. REQUIRED FEE: $280 Application fee (nonrefundable) The fee includes both the license …
[DOC File]CLERGY COUNSELING ERRORS AND OMISSIONS APPLICATION
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AGENT NAME: AGENT LICENSE NUMBER: (Applicable to Florida Agents Only) IOWA LICENSED AGENT: (Applicable in Iowa Only) IMPORTANT NOTICE As part of our underwriting procedure, a routine inquiry may be made to obtain applicable information concerning character, general reputation, personal characteristics and mode of living.
[DOC File]Property Management Standards / U.S. …
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The agent's principals, supervisory staff and front-line staff may be covered under the same bond. For additional information, see Handbook 4381.5. M2M Program Operating Procedures Guide January 2001. page K-2. September 30, 2004. page K-1
[DOC File]GENERAL LIABILITY ADDITIONAL INSURED QUESTIONNAIRE
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AGENT NAME: AGENT LICENSE NUMBER: (Applicable to Florida Agents Only) IOWA LICENSED AGENT: (Applicable in Iowa Only) IMPORTANT NOTICE As part of the underwriting procedure, a routine inquiry may be made which will provide applicable information concerning character, general reputation, personal characteristics and mode of living.
[DOCX File]ENDORSEMENT, AMENDMENTS, RIDERS - Florida Office of ...
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The Florida Office of Insurance Regulation (Office) developed the following worksheet to assist companies in making form filings that are compliant with Private Passenger Auto laws, rules, and bulletins. ... Must disclose the name and license number of agent. 627.4085(1) Must prominently display the name of the insuring entity on the first page ...
[DOC File]ANNUAL VOLUME COMMITMENT
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Copy of insurance license issued by state of residence or agency domicile. Certificate of insurance for your current professional liability (E&O) insurance. IRS Form W-9. 2010 Hull & Company, Inc. 2010 Hull & Company, Inc. 4/7/2010. 4/7/2010. Page 2 of 6. Page 3 of 6. Page 4 of 6. Page 5 of 6. Page 6 of 6
69B-220
A public adjuster may hold a general lines agent license. However, no public adjuster, while so licensed in the Department’s records, shall represent or act as both a public adjuster and a general lines agent for the same insurance claim.
[DOC File]PUBLIC ENTITY APPLICATION APPLICANT INFORMATION …
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5. Agent Name and License Number (Applicable to Florida Agents Only): 6. Licensed Agent (Applicable in Iowa Only): 7. Are you the incumbent agent? Yes No. C. LOSS HISTORY (Include insured and uninsured losses) 1. Five years of company loss runs, valued within the past six months, must be attached for all coverage(s) requested except law ...
[DOC File]EXTENSION—SCHEDULE OF DRIVER INFORMATION
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AGENT NAME: AGENT LICENSE NUMBER: (Applicable to Florida Agents Only) IOWA LICENSED AGENT: IMPORTANT NOTICE As part of the underwriting procedure, a routine inquiry may be made which will provide applicable information concerning character, general reputation, personal characteristics and mode of living.
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