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  • Biographical Affidavits - State Of Delaware - Captive Insurance - Captive Delawareinsurance

Get Biographical Affidavits - State Of Delaware - Captive Insurance - Captive Delawareinsurance

STATE OF DELAWARE DEPARTMENT OF INSURANCE BIOGRAPHICAL AFFIDAVIT A biographical affidavit is required if you hold one or more of the following positions: Captive Owner SBU Owner Trustee/Fiduciary.

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How to fill out the Biographical Affidavits - State Of Delaware - Captive Insurance - Captive Delawareinsurance online

Filling out the biographical affidavits for captive insurance in Delaware requires careful attention to detail to ensure accuracy. This guide will provide step-by-step instructions to help users complete the form efficiently, even with limited prior experience in legal documents.

Follow the steps to complete the biographical affidavits online.

  1. Press the ‘Get Form’ button to access the biographical affidavit and open it in your online document editor.
  2. Begin by entering the affiant’s full name as it appears on legal documents.
  3. Provide the date of birth in the required format. Make sure to double-check the accuracy of this information.
  4. Fill in the current address, including street, city, state, and zip code.
  5. Enter the telephone number, ensuring you include the area code.
  6. Indicate your citizenship status by selecting the appropriate option and providing your country of citizenship if not a U.S. citizen.
  7. List any name changes you have had over the years.
  8. Detail all permanent addresses where you have resided in the past 10 years.
  9. If applicable, provide the name of the captive insurance company or authorized provider associated with your application.
  10. Enter your applicant’s business address and business telephone number.
  11. Outline your employment history for the past 10 years, starting with your most recent position, including company name and your title.
  12. Indicate whether your current employer may be contacted regarding your employment.
  13. List all director and officer positions held within the last 3 years, including company name and the title you held.
  14. Share memberships in any professional societies and associations.
  15. List any professional licenses or certifications you currently hold.
  16. Answer the series of questions regarding any past legal or professional issues, providing details if necessary.
  17. If applicable, provide the owner or trustee declaration as required, ensuring compliance with Delaware Law.
  18. Review all entered information for accuracy and completeness.
  19. Lastly, provide the date, sign where indicated, and ensure a notary public witnesses your signature.
  20. Once completed, you may save the changes, download, print, or share the submitted form as needed.

Complete the biographical affidavits online today to ensure your captive insurance application is processed smoothly.

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