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UCAA Corporate Amendments Application Form …

Applicant Company Name: _____ NAIC No. _____ FEIN: _____ Revised 03/26/18 2020 National Association of Insurance Commissioners 1 FORM 1C Uniform Certificate of Authority Application (UCAA) Corporate Amendments Application Checklist For Corporate Amendments Application Only The Application checklist is intended to help guide the insurer (herein after referred to as Applicant Company ) with the assembly of a complete Corporate Amendments Uniform Certificate of Authority Application (UCAA). Please be sure to complete the checklist by appropriately marking the boxes on the left side of the page prior to submitting the Application for review. For hardcopy filings the completed checklist should be attached to the top of the Application . For electronic filings, the checklist is automatically created and cannot be edited. Any additional items listed below pertaining to the Application should be attached via the UCAA portal or mailed directly to the states.

Title: UCAA Corporate Amendments Application Form 1C Author: jladewig Subject: Uniform Certificate of Authority Application Corporate Amendments Application Checklist - Form 1C

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  Applications, Corporate, Amendment, Corporate amendments application, Application corporate amendments application

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