Get State Of Alaska Department Of Commerce, Community, And ... - Commerce State Ak

This guide provides clear, step-by-step instructions on how to complete the registration form for Third-Party Administrators with the State of Alaska Department of Commerce, Community, and Economic Development. Whether you are new to the process or need a refresher, this comprehensive overview will help you navigate the online filing effectively.

Follow the steps to complete your registration form with ease.

1. Click ‘Get Form’ button to obtain the registration form and open it in the online editor.
2. Fill in the name of the registrant in the appropriate field. Make sure to include any trade names or assumed names under which you conduct your business.
3. Indicate your lines of authority by checking the relevant boxes for life, health, or variable annuities.
4. Provide the business's physical address, city, and state. Ensure that the mailing address is also accurately filled out if different from the physical address.
5. Select the legal business type and provide the incorporation or formation date.
6. List all owners, partners, officers, and directors of the business entity along with their titles and Social Security Numbers.
7. Complete the fields for the designated compliance officer, including their Alaska license number.
8. Account for your employment history for the past ten years, ensuring no gaps are present.
9. Answer all background questions truthfully. If applicable, provide necessary documentation for criminal history or administrative proceedings.
10. Review the certification and attestation section. Ensure all information is filled out correctly before signing and dating the application.
11. Once all fields are completed, save your changes. You have the option to download, print, or share the completed form.

Start completing your documents online today and ensure your registration as a Third-Party Administrator is processed smoothly.