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  • Ca Lic 411-8a 2021

Get Ca Lic 411-8a 2021-2026

Department of InsuranceState of CaliforniaBusiness Entity Endorsement LIC 4118A (Rev 1/2021) Producer Licensing Bureau P.O. Box 1139 Sacramento, CA 958121139 (800) 9679331 www.insurance.ca.govPursuant.

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How to fill out the CA LIC 411-8A online

Filling out the CA LIC 411-8A form online is a crucial process for business entities endorsing individuals to exercise agency or brokerage powers. This guide provides step-by-step instructions to ensure a smooth and accurate completion of the form.

Follow the steps to complete the CA LIC 411-8A form online.

  1. Press the ‘Get Form’ button to obtain the form and open it in your preferred editor.
  2. In the first field, input the business entity name exactly as it is registered.
  3. Enter the license number assigned to your business entity.
  4. Fill out the mailing address for your business entity, ensuring accuracy for correspondence.
  5. Select the endorsement type by choosing from the provided list. Only enter one endorsement type per line, keeping in mind the exceptions for specific types.
  6. Input the endorsee’s Social Security number as required. Remember that this is mandatory for processing.
  7. Fill in the endorsee’s name below their Social Security number; it should match the name on their license.
  8. Provide the effective date of endorsement to indicate when the endorsement becomes active.
  9. Repeat steps five through eight for each endorsement, if applicable, ensuring no more than one endorsement type appears on each line.
  10. At the end of the form, the authorized representative must sign and indicate their title, followed by entering their email and phone number.
  11. Calculate and enter the number of endorsements to determine the total filing fee. Prepare to submit the total fee accordingly.
  12. Finally, save your changes. You may choose to download, print, or share the completed form as needed for submission.

Ensure you complete your documents online for a streamlined process.

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