Get Als 1101

Filling out the Als 1101 form online can seem daunting, but this guide will provide you with step-by-step instructions to help you complete it correctly. Whether you are a seasoned user or new to this process, the instructions are designed to ensure clarity and ease of understanding.

Follow the steps to complete the Als 1101 form effectively.

1. Click the ‘Get Form’ button to access the Als 1101 online. This will open the document in your preferred editing tool, allowing you to complete the form seamlessly.
2. Begin by entering the Texas admitted carrier number or Texas surplus line company number in the designated field. Remember, only one of these numbers is required, so choose accordingly.
3. Provide the name of the insurance company in the next section. Ensure you spell the company's name correctly to avoid any issues.
4. Fill in the address of the insurance company accurately. This should be the physical address, not a P.O. Box.
5. In the 'Name of Business (Insured)' field, enter the official name of the business that the insurance policy covers. Avoid using individual names, and instead use the registered business name.
6. If applicable, input the TPCL number, which is either the business license number or a noncommercial certified applicator license number. Leave this field blank if you do not have this number.
7. Fill in the name of the business license holder, ensuring that it matches the application for business exactly. This should refer to a single individual.
8. List the physical business location address, ensuring that it is not a P.O. Box. The address should include the city, state, and zip code.
9. Input the policy number that pertains to your insurance in the appropriate box. This must be the complete policy number, as binder numbers are not acceptable.
10. Enter the effective date and expiration date of the policy in the spaces provided.
11. The certificate must be signed by an authorized representative of the insurance company. Ensure that they include their name and the date when the certificate was completed.
12. Lastly, provide the address, city, state, and zip of the insurance agent, along with their phone number. Don’t forget to include either the Texas insurance agent license number or the non-resident agent license number.
13. Once you have completed all the fields, review the form to ensure all information is accurate. You can then save your changes, download the document, print it, or share it as needed.

Complete your Als 1101 form online today to ensure compliance and peace of mind.