Get Producer Change Of Record Form - Louisiana Department Of ... - Ldi State La
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How to fill out the Producer Change Of Record Form - Louisiana Department Of Insurance online
Filling out the Producer Change Of Record Form is essential for maintaining accurate and up-to-date information regarding your insurance license. This guide will help you navigate the online process, ensuring you provide the necessary details correctly and efficiently.
Follow the steps to correctly fill out the form online.
- Press the ‘Get Form’ button to download the form and open it for editing.
- Select the appropriate section based on your needs: Adding a Trade Name, Name Change for an Individual, Name Change for an Entity, or Addition and Deletion of Members/Affiliates.
- In Section #1, fill in your current license number and the name under which it was issued. Provide the new trade name you wish to add and include your signature, address, and email to complete this section.
- If using Section #2, provide your current license number, the name it was issued under, and your new name. You must include your current address, email, and a signature. Ensure to attach proof of your name change, such as a driver’s license.
- For Section #3, indicate your entity's current license number and the name it was issued under. Write the new name of the entity and provide its current address, email, and signature of the authorized representative.
- Within Section #4, list the entity's name and license number. Detail any additions and deletions of members, including their positions and licenses. Ensure to sign and include the printed name of the authorized agency representative.
- After completing all necessary sections, review your form for accuracy. You can save changes, download, print, or share the document as needed.
Complete your Producer Change Of Record Form online today for a smooth updating process!
In Louisiana, obtaining an insurance license with a felony conviction is possible, but it comes with certain conditions. The Louisiana Department of Insurance evaluates each case individually, considering factors such as the nature of the felony and the time elapsed since the conviction. It is advisable to consult the department or use resources like the Producer Change Of Record Form - Louisiana Department Of ... - Ldi State La to understand the specific requirements and processes involved.
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