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Get Fis-0262 Name Or Address Change - Michigan
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How to use or fill out the FIS-0262 Name Or Address Change - Michigan online
Changing your name or address is an essential process for maintaining accurate records with the Department of Insurance and Financial Services in Michigan. This guide provides clear instructions on how to complete the FIS-0262 form online, ensuring a smooth and efficient update to your details.
Follow the steps to successfully complete the FIS-0262 form.
- Press the ‘Get Form’ button to access the FIS-0262 Name Or Address Change form and open it in your designated editor.
- Enter your System ID or License Number, which is the 7-digit number assigned by DIFS. This information is necessary for identifying your current license.
- Input the name as it currently appears on your insurance license, followed by your Full Employer ID number (for business entities) or the last four digits of your Social Security Number.
- Check the box next to each item that you would like to change, being sure to attach any required legal proof of name change, such as a driver's license, marriage certificate, or other relevant documentation.
- If you are changing your individual name, provide your last name, first name, middle initial or name, and suffix (if applicable). For business entities, state if you are changing your Agency, Corporation, Partnership, or DBA name.
- Complete the section for changing your mailing address, including the effective date of the change. Fill out all address fields, including city, state/province, ZIP/postal code, and country.
- If you are changing your residence address or phone number, fill in the respective sections with complete details.
- Provide the new business address and phone number, if applicable, in their designated sections.
- Indicate any changes to your personal or business email addresses in the provided fields.
- At the end of the form, provide certification by typing or printing your name and title. Sign and date the form to confirm that the information is complete and correct.
- After filling out the form and ensuring all necessary documents are attached, you can save your changes, download the filled form, print it, or share it as required.
Complete your document online now to ensure your name and address updates are efficiently processed.
Contact the Department of Insurance and Financial Services for licensure information at 877-999-6442 or visit .michigan.gov/difs.
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