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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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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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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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
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