Get Form For Ar1

The Form For Ar1, known as the Certificate of Assuming Insurer, is an essential document for reinsurance agreements. This guide provides step-by-step instructions to assist you in accurately completing the form online.

Follow the steps to fill out the Form For Ar1 online.

1. Click the ‘Get Form’ button to access the form in an editable format.
2. Enter the name of the officer responsible for completing the form in the designated space.
3. Provide the title of the officer in the appropriate field below the name.
4. Fill in the name of the assuming insurer as it appears legally.
5. Indicate the state where the ceding insurer is domiciled, specifically New Hampshire.
6. Repeat the name of the assuming insurer in the next section to confirm its identity.
7. Review the certification statement, ensuring that all information is up to date and correct.
8. Designate the Insurance Commissioner of New Hampshire as the lawful attorney for service of process.
9. Acknowledge the willingness to submit to the authority of the Insurance Commissioner concerning examination of records.
10. Attach a current list of insurers domiciled in New Hampshire that are reinsured by the assuming insurer.
11. Specify the date in the designated field before signing the document.
12. Have the officer sign the form and print their name and title below the signature.
13. Once completed, save changes to the form, and download, print, or share it as needed.

Complete your documents online confidently and efficiently.