Get Uniform Consent To Service Of Process

The Uniform Consent To Service Of Process is a crucial document for entities seeking to comply with state regulations related to insurance. This guide provides a clear, step-by-step approach to effectively complete this form online, ensuring users have the support they need throughout the process.

Follow the steps to complete the form accurately.

1. Click the ‘Get Form’ button to acquire the form and open it in your preferred online editing tool.
2. Fill out the Applicant Name along with the National Association of Insurance Commissioners (NAIC) number and Federal Employer Identification Number (FEIN) in the designated fields.
3. Indicate whether this is an original or amended designation by selecting the appropriate option.
4. In the Insurer Name field, enter the complete name of the insurance entity. If applicable, provide the previous name.
5. Complete the Home Office Address section with the street address, city, state, and zip code.
6. Provide the NAIC CoCode as required.
7. Designate the state(s) where you are appointing your designated agent for service of process by marking an 'X' next to the appropriate state names in Exhibit A.
8. Attach a completed Exhibit B if necessary, providing details of the designated Resident Agent in the specified states.
9. Ensure one of the two officers listed below the Certification section reads the certification statement carefully, dates the form, and provides their signature and full legal name.
10. Review all entries for accuracy before saving your changes. You can then download, print, or share the completed form as required.

Start filling out your Uniform Consent To Service Of Process online today to ensure compliance and streamline your documentation process.