Transcription of I. SUB-AGENT/PRODUCER - Guam
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I. SUB-AGENT/PRODUCER - Guam
UNIFORM APPLICATION FOR INDIVIDUAL PRODUCER and BUSINESS ENTITY license REGISTRATION checklist (To be used for General agent /Sub- agent /Broker/Surplus Lines Broker) I. SUB-AGENT/PRODUCER : a. The application must be filled out completely. b. Individual license Number must be written after Home State. (Example: Identify Home State: Guam / SA-1234) c. Box address is not acceptable. If the individual does not have a physical address, the company s address must be used. d. There is no need for notarization. Application form has the Certification and Attestation Page and must be signed. e. Application must be accompanied by Form I-12 (Appointment of Sub- agent ) f. Application must be accompanied by a completed Form I-9 (Tax Clearance Form) g.
UNIFORM APPLICATION FOR INDIVIDUAL PRODUCER and BUSINESS ENTITY LICENSE REGISTRATION CHECKLIST (To be used for General Agent/Sub-Agent/Broker/Surplus Lines Broker)
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