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Form IA-IB1 Statement of Personal Information in Support of an Application for Authorization of or Notification of Relevant Changes in respect of Insurance Broker under Section 69 of the Insurance

How to fill out statement of personal information

How to fill out a statement of personal information:

1. Start by providing your full name, including any legal name changes, if applicable.
2. Include your current contact information such as your address, phone number, and email address.
3. Indicate your date of birth and provide any necessary identification numbers, such as your Social Security number or driver's license number.
4. Fill in your gender, race, and ethnicity as requested, ensuring accuracy and honesty.
5. Include information about your marital status, including whether you are single, married, divorced, or widowed.
6. Provide details about your educational background, including any degrees or certifications you have obtained.
7. Include your employment history, listing your previous employers, job titles, and dates of employment.
8. Mention any professional licenses or memberships you hold, if applicable.
9. If required, provide information about your criminal history, if applicable, including any convictions or pending charges.
10. Sign and date the statement of personal information, affirming the accuracy and truthfulness of the provided details.

Who needs a statement of personal information?

1. Job applicants: When applying for certain jobs, employers may request a statement of personal information to assess an applicant's qualifications and background.
2. College or university applicants: Higher education institutions may require a statement of personal information as part of the application process to gather relevant details about the applicant.
3. Government agencies: Certain government agencies may require individuals to fill out a statement of personal information in order to process applications, verify eligibility, or conduct background checks.
4. Legal proceedings: In some legal cases, individuals may be required to complete a statement of personal information as part of court proceedings or other legal requirements.
5. Personal records: Individuals may choose to create a statement of personal information for their own record-keeping purposes, providing a comprehensive overview of their personal details in one place.

For pdfFiller’s FAQs

What is statement of personal information?

The statement of personal information is a document used to disclose personal information about an individual, which may include financial interests, employment history, and other relevant details.

Who is required to file statement of personal information?

Certain individuals, such as public officials, government employees, and others in positions of authority, are typically required to file a statement of personal information.

How to fill out statement of personal information?

To fill out a statement of personal information, individuals must provide accurate and complete details about their personal and financial interests, as required by the applicable laws and regulations.

What is the purpose of statement of personal information?

The purpose of the statement of personal information is to promote transparency, integrity, and accountability by disclosing relevant personal and financial information of individuals in positions of authority.

What information must be reported on statement of personal information?

The information that must be reported on a statement of personal information typically includes details about financial interests, sources of income, investments, debts, and other relevant personal and financial information.

How do I execute statement of personal information online?

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