Get L 193

Filling out the L 193 form, also known as the certificate of assumed business name, is an essential step for individuals or businesses seeking to conduct insurance under a designated name in Arizona. This guide will provide you with clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to successfully fill out the L 193 form online.

1. Press the ‘Get Form’ button to obtain the L 193 form and open it in the editing interface.
2. Determine whether the individual or business seeking to use the assumed name already has an Arizona insurance license. If so, enter the license number in the appropriate field; if not, leave it blank.
3. Indicate whether the individual or organization is a business entity or an individual by selecting the appropriate option. If you select 'Business Entity,' continue to step four. If you select 'Individual,' skip to step five.
4. If you are a business entity, enter the genuine/legal name of the business entity and skip to step five.
5. For individuals, provide your full last name, full first name, and full middle name in the corresponding fields.
6. If you wish to remove an existing assumed name from your license, enter that name in the designated field.
7. If you want to add an assumed name to your license, enter that name here.
8. Read through the acknowledgment and certification section carefully. Ensure you understand that this form does not act as an insurance license, and that you must notify the Department of Insurance of any material changes within 30 days.
9. Sign and date the form in the appropriate fields to certify the information provided.
10. Once you have filled out all necessary fields, review your responses for accuracy. Save any changes made to the form, and prepare to download, print, or share it as needed.

Begin completing your L 193 form online today to ensure your business name is properly registered.