Get Background Information - Delawareinsurance

Filling out the Background Information form for Delawareinsurance is a crucial step in obtaining your business entity insurance license. This guide provides clear, step-by-step instructions to help you navigate the form effectively.

Follow the steps to complete the form accurately.

1. Click ‘Get Form’ button to access the form and open it for editing.
2. In Part 1, enter your business entity's name and federal employer identification number (F.E.I.N.). Next, fill out the business address information, including street address, suite or box number, city, state, ZIP code, and phone number. Don’t forget to include the business email and website address.
3. Complete the mailing address section, mirroring the business address information fields. If your mailing address is the same as your business address, indicate this clearly.
4. Proceed to Part 2 and identify at least one Designated/Responsible Licensed Producer. Fill in the names and social security numbers (SSN) as required.
5. In Part 3, select the type of license you are requesting by marking the appropriate box, choosing between producer, adjuster, appraiser, surplus lines broker, and others available.
6. In Part 4, specify the structure of your company by selecting from options such as corporation, partnership, or limited liability company, and provide the date and state of organization.
7. Move to Part 5 to list the principal officers of your organization. Fill in their names, social security numbers, and positions accurately.
8. Carefully review all questions in the Background Information section. Respond to each question with 'Yes' or 'No' as applicable, and ensure to provide any required attachments for 'Yes' answers.
9. Complete the Applicant’s Certification and Attestation section by certifying that the information is true. Ensure the form is signed and dated by an authorized individual.
10. After completing the form, you may save changes, download, print, or share the completed form as needed.

Complete your forms and submit your application online today for an efficient processing experience.