Get Biographical Affidavit Form Puerto Rico

Filling out the Biographical Affidavit Form Puerto Rico is a crucial process for individuals involved in the insurance sector in Puerto Rico. This guide provides clear instructions to help you complete the form accurately and efficiently online.

Follow the steps to complete the Biographical Affidavit Form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Start by entering the international insurer's name in the designated field. Ensure that you spell it correctly to avoid any issues.
3. Fill in your full name. Remember, initials are not acceptable, so provide your complete name.
4. Indicate if you have ever used any other name, including a maiden name. If yes, provide an explanation.
5. Enter your Social Security number. This information is important for identification purposes.
6. Provide your date of birth and place of birth in the fields provided.
7. Fill out your business address, including any relevant details to help identify your location.
8. Enter your business phone number to ensure you can be contacted easily.
9. List your residence history for the last five years, starting with your current address. Be sure to include the dates and specific addresses.
10. Detail your education, including the dates, institutions, and degrees earned. This may require additional sheets if necessary.
11. Mention memberships in professional societies and associations, attaching additional sheets if needed.
12. List all employers from the last ten years, including their addresses and your titles. Indicate if these employers may be contacted.
13. Answer questions regarding any fidelity bonds you have held and provide details if applicable.
14. List any professional licenses you hold or have held, including details about their issuance and termination.
15. Address any refusals of professional licenses and provide details of such situations.
16. Complete questions regarding convictions or disciplinary actions, ensuring to provide accurate explanations if needed.
17. Indicate any insurers you control or own shares of, providing necessary details.
18. Answer questions about family stock ownership in the proposed international insurer.
19. Provide information about any bankruptcy proceedings you have been involved in.
20. Review and answer questions regarding your roles in companies that may have faced insolvency.
21. Finally, sign and date the form in the certification section, ensuring all information is correct.
22. After completing the form, save your changes, and you can choose to download, print, or share the document as needed.

Complete your Biographical Affidavit Form online today and ensure a smooth filing process.