Get Form 9.pdf - Alberta Insurance Council

Filling out the Form 9 for the Alberta Insurance Council is a crucial step for individuals seeking a limited adjuster certificate of authority. This guide will walk you through the process step-by-step, ensuring that you complete the form correctly and efficiently.

Follow the steps to complete the Form 9 online.

1. Click the ‘Get Form’ button to download the form and open it in your preferred editing software.
2. Begin by entering the name of the applicant in the designated fields, including last name, first name, and middle name.
3. Provide the residence address, including street or avenue, city, province or state, and postal code.
4. Fill in the applicant’s date of birth by entering the day, month, and year.
5. Indicate the applicant's residence telephone number.
6. If applicable, enter the corporate name and trade name of the business.
7. Complete the business address section, including street, suite or box number, city, province or state, postal or zip code, business telephone number, and fax number.
8. Select one certificate type being applied for, such as designated representative, adjuster, or other relevant certificates.
9. Detail your employment history for the past five years, including employer names, positions held, and dates of employment.
10. Indicate if you have other occupations or employment apart from insurance adjusting, providing details if applicable.
11. Declare if you currently hold any other certificates, licenses, or registrations to deal with the public.
12. Respond to the questions regarding your status in the last ten years related to licensing, convictions, and employment history, providing additional details as necessary.
13. Specify whether this application is for a new certificate of authority or a transfer/reinstatement of an existing one.
14. Complete the declaration by certifying that all information is true, providing your signature and the date.
15. If applicable, have the designated representative complete their section, providing their name, signature, and date.
16. Review the entire form to ensure all fields are completed, and save your changes to the document.
17. Finally, choose to download, print, or share the completed form as required.

Begin filling out your Form 9 online today to ensure a smooth application process.