Get the free Insured Agency/Department Address - doas ga template

DEPARTMENT OF ADMINISTRATIVE SERVICESLIGHTNING AFFIDAVITInsured Agency/Department Address 1. Date of Loss 2. Time of Loss am pm3. Were fuses blown or circuit breaker thrown? Amperage of fuses? 4.

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What is insured agency/department address?

The insured agency/department address is the physical location of the organization that is covered by an insurance policy.

Who is required to file insured agency/department address?

The insured agency/department address must be filed by the authorized representative of the organization that holds the insurance policy.

How to fill out insured agency/department address?

The insured agency/department address can be filled out by providing the complete physical address of the agency/department, including street address, city, state, and zip code.

What is the purpose of insured agency/department address?

The purpose of providing the insured agency/department address is to ensure that the insurance company has accurate information about the location of the insured property or organization.

What information must be reported on insured agency/department address?

The insured agency/department address must include the complete physical address, including street address, city, state, and zip code.