Get 1322 Subscriber Change Form 112012 - Curry County

This guide provides a clear and concise overview of how to fill out the 1322 Subscriber Change Form 112012 for Curry County online. By following these steps, users can easily update their personal and office information as needed.

Follow the steps to complete and submit the form effectively.

1. Click ‘Get Form’ button to access the document and open it in your preferred editing tool.
2. Begin by filling out your personal information. This includes providing your full name and home address. Check the appropriate box to indicate if these fields represent a new name or address. If you are changing your address, enter the new address in the designated box.
3. Next, specify your mail preference by selecting either 'Home Address' or 'Office Address'. You should also provide your home phone number, agent direct number, email address, and if applicable, your public ID and agent fax number. Ensure accuracy as this information is critical for communication.
4. For method of identification, select one of the options provided (mother’s maiden name, first pet’s name, or father’s middle name) and fill in the required information.
5. Move on to the office information section. Fill in your current office name and broker code. If applicable, provide details for a new office and broker code if transferring.
6. If you have a personal assistant, enter their name and public ID. Note that additional personal assistants can be listed on an attached page if necessary.
7. Review the member status change section. Choose either termination, sending a license to the state, or moving to a non-subscribing office. If applicable, check any relevant user level options and provide required signatures.
8. At the bottom of the form, sign as the subscriber and have your participant broker sign as well to certify the information. Ensure that the date is also filled out correctly.
9. Once all fields are completed, save your changes to the document. Then, you can download, print, or share the form as required.

Complete your forms online for convenience and efficiency!