IA / AL / AS / NC / ND / Insurance Commission / National Association of Insurance Commissioners / Service of Process / /
Person
Uniform Consent / BE IT RESOLVED / /
Position
MN Commissioner of Commerce / attorney / NH Commissioner / CT Commissioner / OR Resident Agent* HI Insurance Commissioner / State Officer / NV Commissioner / AK Director / Compliance Officer / NM Superintendent / President / Director of Insurance / Commissioner / MS Commissioner / SD Director / SC Director / WA Insurance Commissioner / MT Commissioner / PR Commissioner / DE Commissioner / TX Resident Agent* LA Secretary / Resident Agent* OK Commissioner / NE Officer / Lieutenant Governor /Commissioner / NY Superintendent / IL Director / DC Commissioner / WV Secretary / VT Secretary / Resident Agent* NJ Commissioner / GA Commissioner / Secretary / KS Commissioner / Officer / Secretary of State / ID Director / Insurance Commissioner / AZ Director / WY Commissioner / TN Commissioner / RI Superintendent / KY Secretary / CO Commissioner / /
ProgrammingLanguage
DC / /
ProvinceOrState
New Jersey / Florida / North Carolina / Colorado / /
Applicant Name: _____________________________ NAIC No. FEIN: Uniform Consent to Service of Process