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New York State Department of Financial Services Licensed Financial Services Licensee Contact Update This form must be signed by an executive officer who has been DFS vetted. 1. Full legal name of
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Agents are individuals or entities licensed to represent insurance companies and sell insurance policies. Brokers are independent insurance professionals who work on behalf of insurance buyers to help them find the best coverage at the best price.
Insurance companies are required to file agents and brokers with regulatory authorities.
Agents and brokers can be filled out by providing detailed information about the individuals or entities representing the insurance company.
The purpose of agents and brokers is to facilitate the sale and purchase of insurance policies.
Information such as agent or broker name, license number, contact information, and relationship with the insurance company must be reported.
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