Get Initial Certification - California Department Of Insurance ...

Filling out the INITIAL CERTIFICATION form for the California Department of Insurance is an important step for credit insurance agents to ensure compliance with state regulations. This guide provides clear instructions on how to effectively complete the online version of this form.

Follow the steps to fill out the form accurately.

1. Click 'Get Form' button to obtain the form and open it in the designated online workspace.
2. Start by entering your name and title in the designated fields. Make sure to provide the correct spelling as this will be part of your certification.
3. Indicate whether the attached training material is new or has changed since your company's prior submission to the California Department of Insurance. Select the appropriate option clearly.
4. If there have been changes, ensure that any additions and deletions are highlighted as specified. This is crucial for compliance.
5. In the section labeled 'Name of licensed credit insurance agent organization,' enter the complete official name of your organization.
6. Enter your license number prominently in the corresponding field. This is important for identification purposes.
7. Provide your signature in the designated space to authenticate your certification. This confirms that you are certifying the information is true and correct under penalty of perjury.
8. Finally, enter the date in the field provided. This reflects when the certification is being submitted.
9. Once you have completed all sections of the form, review the entries for accuracy. After ensuring all information is correct, save your changes, download a copy, or print the form as needed.

Complete your submission of the necessary documents online today.