Get Uniform Application For Business Entity License ... - Wvinsurance

Filling out the Uniform Application for Business Entity License is a crucial step for users looking to operate within the insurance industry. This guide is designed to walk you through the necessary steps for completing the application accurately and efficiently.

Follow the steps to complete your application seamlessly.

1. Click ‘Get Form’ button to access the form and open it in the editor.
2. Begin by checking the appropriate boxes for the type of license you are requesting, such as resident or non-resident license. Additionally, indicate whether this is a new application or if you are applying for additional lines of authority.
3. Enter your business entity name, Federal Employer Identification Number (FEIN), and incorporation or formation date. If you have a National Producer Number (NPN), include that as well.
4. Provide any other assumed, fictitious, alias, or trade names you are currently using or plan to use for your business.
5. Indicate whether your business entity is affiliated with any financial institution or bank, and fill in your business address, including city, state, and zip code.
6. List your designated or responsible licensed producer(s). Identify at least one individual who is responsible for compliance with insurance laws.
7. Identify all owners, partners, officers, and directors of the business entity, including their titles, social security numbers, and percentage of ownership interest.
8. Answer the background questions carefully to disclose any past legal issues, ensuring you provide detailed explanations and required attachments if necessary.
9. Review the applicant's certification and attestation sections, ensuring all information is accurate and complete. This part must be signed and dated by an authorized person from your business entity.
10. Finally, gather any required attachments and submit your application. Remember to save your changes, and choose to download, print, or share the completed form as needed.

Complete your Uniform Application for Business Entity License online today!