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  • Fis-0262 Name Or Address Change - Michigan

Get Fis-0262 Name Or Address Change - Michigan

2 (5/15) Department of Insurance and Financial Services Name or Address Change for Insurance Licensees Required Information about your current license System ID / License Number (7-digit number assigned by DIFS) Name as it currently appears on your insurance license: Full Employer ID number (business entity) OR Last 4 digits of your Social Security Number Check box to indicate each item you are changing. No fees required for use of this form. Requirement: Attach document(s) as legal proof o.

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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.

  1. Press the ‘Get Form’ button to access the FIS-0262 Name Or Address Change form and open it in your designated editor.
  2. 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.
  3. 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.
  4. 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.
  5. 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.
  6. 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.
  7. If you are changing your residence address or phone number, fill in the respective sections with complete details.
  8. Provide the new business address and phone number, if applicable, in their designated sections.
  9. Indicate any changes to your personal or business email addresses in the provided fields.
  10. 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.
  11. 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.

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Contact the Department of Insurance and Financial Services for licensure information at 877-999-6442 or visit .michigan.gov/difs.

To correct your name at a Secretary of State office, you will need to provide: Your current license or ID. Official proof of the change to your legal name from the Social Security Administration.

If you have had a legal name change, you must submit a copy of your legal name change document such as a marriage certificate, divorce decree, or legal order. Please include your license number with your request. Social Security cards with a copy of your current Legal ID may also be accepted.

Section 1206(5) of the Michigan Insurance Code, MCL 500.1206(5), requires licensees to notify the Director of a change of legal name within 30 days of the change. A new license is automatically sent to the licensee or agency when a name change is processed. No fees are charged for processing a name change.

A new license is automatically sent to the licensee or agency when a Mailing Address change is processed. All individual licensees must use the Contact Change Request (CCR) page on the NIPR website. Click on the “Change” button to access the CCR page.

All individual licensees must use the Contact Change Request (CCR) page on the NIPR website. Click on the “Change” button to access the CCR page. Licensure information must be displayed on the NAIC PDB in order to use the CCR.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232