Get Request For Agencybusiness Name Approval - Oci Ga

This guide provides a clear, step-by-step approach for filling out the REQUEST FOR AGENCY/BUSINESS NAME APPROVAL form online. Following these instructions will help ensure your application is completed accurately and efficiently.

Follow the steps to successfully complete your name approval request.

1. Click ‘Get Form’ button to access and open the REQUEST FOR AGENCY/BUSINESS NAME APPROVAL form in your preferred browser.
2. Complete the 'Date' field with the current date, ensuring it is accurate to avoid processing delays.
3. Enter the 'Name of Entity' you wish to register. This name should not contain any of the restricted words or phrases without prior approval.
4. Fill in the 'FEIN' (Federal Employer Identification Number) to provide identification for your entity.
5. Input the 'Contact Name' for your application. Ensure this person will be available to address any inquiries related to the submission.
6. Provide the 'Street Address' of the agency or business, ensuring it is a physical location where correspondence can be directed.
7. Complete the 'City, State, Zip' fields accurately to specify the complete location of the agency/business.
8. Fill in the 'E-mail Address' for the contact person, as this will be used for follow-up communication regarding the name approval.
9. Enter the 'Contact Phone Number' to facilitate direct contact if necessary.
10. Specify the 'Nature of Business' by selecting 'Insurance Carrier', 'Insurance Agency', or 'Other', and detail as needed.
11. Include the payment of $50 for the name approval. Ensure that the payment method is a check or money order made out to the Georgia Department of Insurance.
12. Mail the completed form along with payment to the designated address for processing. Only submit this form with payment; do not include additional documents.
13. Once the form is submitted, you will receive a letter of approval if your name request is granted. Remember, name approval does not equate to a license.

Complete your REQUEST FOR AGENCY/BUSINESS NAME APPROVAL online today to get your application process started.