Get State Of Georgia Request For Name/address Change For Producer And ... - Oci Ga

This guide provides comprehensive instructions for completing the State Of Georgia Request For Name/address Change For Producer And Agency form online. By following these steps, users will be able to efficiently submit their changes to the Georgia Insurance Department.

Follow the steps to successfully complete your name/address change request.

1. Click ‘Get Form’ button to access the form and open it in your preferred browser.
2. Begin by entering your current full name as it appears on your Georgia Insurance license in the designated space for the agency name.
3. If you are changing your agency name, enter the new legal name in the provided section.
4. Input the agency license number along with the Employer Identification Number (EIN) in the specified fields.
5. Complete the licensee information by filling out your last name, first name, middle initial, and suffix if applicable.
6. Select your residency type by marking either the resident or non-resident option.
7. If changing your address, provide your complete new residential address, ensuring at least one physical address is included.
8. For business address changes, fill in the complete business address in the designated fields.
9. Specify the mailing address for future licensing documents, ensuring it is accurate.
10. Indicate the types of duplicate licenses you are requesting by marking an 'X' in the corresponding boxes and calculate the total fee required.
11. Finally, ensure all required fields are filled out before saving changes, downloading, printing, or sharing the completed form.

Complete your name/address change request online today!