Get Insurance Licensee Registration Cancellation Of Dba

Filling out the Insurance Licensee Registration Cancellation Of DBA online is a straightforward process that allows individuals and entities to cancel their ‘doing business as’ registration. This guide provides step-by-step instructions to ensure you complete the form accurately and efficiently.

Follow the steps to successfully complete your DBA cancellation form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Determine whether you are completing the individual or business entity section of the form. Ensure you select the correct section based on your status.
3. In the individual section, fill out your last name, first name, middle initial/name, suffix, system ID/license number, daytime telephone number, email address, and the last four digits of your Social Security number.
4. In the business entity section, provide the name of the licensee or applicant, system ID/license number, dba name, tax ID number (FEIN), name of the contact person, email address, and daytime telephone number.
5. Indicate whether you wish to add or cancel the dba by selecting the appropriate option in the DBA request section.
6. Provide the effective date for the cancellation of your DBA.
7. Certify the information provided by signing your name and noting the date signed on the respective lines.
8. Attach a certified copy of the dba filing that serves as legal proof of the dba.
9. Finalize your process by saving changes, and you may download, print, or share the form as needed.
10. Mail or deliver the form along with the attached documentation to the DIFS Insurance Licensing at the specified address.

Start filling out your Insurance Licensee Registration Cancellation Of DBA online today!