TEXAS DEPARTMENT OF INSURANCELAH314 1117Regulatory Policy Division Life/Health and HMO Intake Team (1061E)333 Guadalupe, Austin, Texas 78701 PO Box 149104, Austin, Texas 787149104 (512) 6766888 F:.
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How to fill out the TX DoI LAH314 online
The TX DoI LAH314 form serves as the Advertising Annual Certification of Compliance for entities regulated by the Texas Department of Insurance. This guide will provide clear, step-by-step instructions to help users fill out the form accurately online.
Follow the steps to complete the TX DoI LAH314 online
- Click the ‘Get Form’ button to download the TX DoI LAH314 form. Open it with a PDF reader that supports Java Script.
- Ensure that Java Script is enabled in your PDF reader and that it is updated to the latest version. This will allow you to fill out the form correctly.
- In the section for calendar year, enter the relevant year for which you are certifying compliance.
- Input your TDI license number in the designated field.
- Provide the name of your company in the specified area.
- Fill in the address details, including the street address, city, state, and zip code.
- Enter your contact phone number in the designated section.
- Read through the certification statements carefully. By clicking the 'Submit by Email' button, you are certifying familiarity with Texas Administrative Code Chapter 21 related to advertising.
- Include the name and title of a company officer who is verifying the information.
- Finally, select the applicable date before submitting. Once everything is completed, click on the 'Submit by Email' button to send the form.
Complete your TX DoI LAH314 form online today!
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