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STATE OF NEW MEXICO OFFICE OF SUPERINTENDENT OF INSURANCE (OSI) PRODUCER LICENSING BUREAU Adjuster Designated Home State Change Request Forename of Licensee ___ NPN/License No: ___ Change Designated

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How to fill out adjuster designated home state

01

Contact the insurance company or employer to determine the specific requirements for filling out the adjuster designated home state form.

02

Obtain the adjuster designated home state form from the necessary source.

03

Fill in your personal information accurately, including your name, contact information, and any relevant identification numbers.

04

Provide details about your insurance adjuster license, including the state in which it was issued and the expiration date.

05

Sign and date the form, certifying that the information provided is accurate and complete.

Who needs adjuster designated home state?

01

Insurance adjusters who are required to designate a home state for licensing purposes.

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What is adjuster designated home state?

Adjuster designated home state is the state where an adjuster is required to designate as their primary resident state for licensing purposes.

Who is required to file adjuster designated home state?

Adjusters who are seeking licensure or renewal of their license are required to file adjuster designated home state.

How to fill out adjuster designated home state?

Adjusters can fill out the designated home state on the licensing application or renewal form provided by the state insurance department.

What is the purpose of adjuster designated home state?

The purpose of adjuster designated home state is to establish a home base for the adjuster's licensing requirements and regulatory oversight.

What information must be reported on adjuster designated home state?

Adjusters must report their primary residence address, contact information, and other required personal details on the adjuster designated home state form.

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