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PrintLegal ServicesCERTIFICATE OF INSURANCE REQUEST Reorganization Name*: *Office or Agency name who is requesting the Certificate (referred to as the Certificate Holder on the Certificate of Insurance
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Locate the designated field for the office or agency name on the form or document.
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The office or agency name is the official name of a government department, organization, or business entity.
Any government department, organization, or business entity that has a registered office or agency is required to file the office or agency name.
You can fill out the office or agency name by providing the full and correct official name of the department, organization, or business entity.
The purpose of office or agency name is to clearly identify and distinguish the department, organization, or business entity.
The information that must be reported on office or agency name includes the full official name and any variations or abbreviations that may be commonly used.
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