Lines
of Authority - Full Lines |
Life
& Annuities
Variable
Contract
Health
Personal
Lines
Property
& Casualty
Title
Title Instructor Certification and
Affidavit of Course Completion |
Form
3001
Certification
and Affidavit
|
Lines
of Authority - Limited Lines
- |
Limited
Lines Credit
Limited
Lines Life
& Health
Limited
Lines Property
& Casualty
Motor Vehicle Rental Contract |
Form
3001 |
Lines
of Authority - Temporary
- |
Temporary
Life
& Health
Temporary
Life
& Health
(Debit Only)
Temporary Property
& Casualty
|
Form
3001 |
Lines
of Authority - Non-Standard
- |
Consultant
(Life & Health)
Consultant (Property & Casualty)
Viatical Settlement Broker |
Form
3001 - Initial
Form 3001 - Renewal
|
| Surplus
Lines Broker |
Form
3001 - Initial
SLB-2
Form
3001 - Renewal |
Lines
of Authority - Business Entity
(Agency)-- |
Life
& Annuities
Variable Contracts
Health
Property
& Casualty
Title |
Form
4052
|
Lines
of Authority - Non-Standard
Business
Entity (Agency)-- |
Consultant
(Life & Health)
Consultant
(Property & Casualty)
Viatical Settlement Broker |
Form
4052 - Initial
Form 4052 - Renewal |
| Surplus
Lines Broker |
Form
4052 - Initial
SLB-2
Form
4052 - Renewal |
| License
Type – Reinsurance Intermediary |
| Initial
Application |
RI
- Initial |
| Renewal
Application |
RI
- Renewal |
| Appointment
|
| Appointment
Form |
Form
4151 |
| Appointment
Cancellation Form |
Form
4921 |
| CRESPA
Forms |
| Title
Settlement Agent/Agency Financial Responsibility Certification
Form |
TSA
Form |
| Title
Settlement Agent Surety Bond |
TSA
Surety Bond |
| Waiver
of Blanket Fidelity Bond or Employee Dishonesty Insurange Policy
for Title Insurance Settlement Agents |
TSA
Waiver |
| Service
Request Form |
| *Change
Name
Correct SSN or FEIN
Trade Name Notification
Clearance Letter (moving out of Virginia)
Change of Address (used by non-resident agents only moving from
one state to another) |
Form
5001 |
| Agent/Agency
Address Changes
Agent/Agency Online Certification Letter
Agent/Agency Duplicate License
|
Online
Services |
| Request
for Agency License Withdrawal/Termination |
Agency
Withdrawal |
| Request for List of Resident Agents for Continuing Education Mailings
|
Guidelines
and Form |
| Unlicensed
Ocean Marine Disclosure Form |
| Unlicensed
Ocean Marine Disclosure Form |
Unlicensed
Ocean Marine Disclosure Form |
|
Licensing Procedures |
