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FORM AIDLITPABOND (2/2016)ARKANSAS INSURANCE DEPARTMENT LICENSE DIVISION 1200 WEST 3RD STREET LITTLE ROCK, AR 72201 PHONE: 5013712750 FAX: 5016832604THIRD PARTY ADMINISTRATOR BOND No. KNOW ALL MEN.

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How to fill out the AR AID-LI-TPA-BOND online

This guide provides a clear and supportive overview of how to fill out the AR AID-LI-TPA-BOND form online. By following these instructions, you can efficiently complete the necessary form for bonding as a Third Party Administrator in Arkansas.

Follow the steps to complete the AR AID-LI-TPA-BOND form efficiently.

  1. Click the ‘Get Form’ button to obtain the necessary form and access it in your preferred editing platform.
  2. In the 'Principal' section, fill in the name of the individual or entity applying for the bond. Ensure this information matches official documents.
  3. In the next field, specify the address of the Principal. Accuracy is important for future communications.
  4. Proceed to the 'Surety' section, where you must provide the name of the surety company that is issuing the bond.
  5. Fill in the surety company's address in the designated field, verifying that all information is accurate.
  6. Review the section regarding the bond amount. Confirm that it states 'Twenty-Five Thousand Dollars ($25,000)', as this is mandatory.
  7. In the area concerning compliance with Arkansas laws, affirm that the Principal understands their obligations and responsibilities as a Third Party Administrator.
  8. Take note of the cancellation clause, ensuring that the Surety understands the conditions for cancellation of the bond.
  9. Once all sections are filled out completely, have the Principal sign the document where indicated.
  10. Ensure the Surety includes its name, signature, and title as the Attorney-in-Fact, along with the corporate seal if required.
  11. Finally, save your changes, and download, print, or share the completed form as needed.

Complete your AR AID-LI-TPA-BOND form online today!

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