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DEPARTMENT OF FINANCIAL REGULATION CAPTIVE INSURANCE BIOGRAPHICAL AFFIDAVIT PLEASE COMPLETE WITH BLACK INK To the extent permitted by law, this affidavit will be kept confidential by the state insurance
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01
Start by obtaining a blank biographical affidavit form from the department you are applying to, if it is available online, you may be able to download and print it.
02
Read through the instructions carefully to ensure that you understand what information is required and how it should be filled out.
03
Begin by providing your personal information, such as your full name, date of birth, and contact details.
04
If applicable, include your current employment information, including your job title, company name, and address.
05
Provide details about your educational background, including the names of schools or institutions you have attended, the dates you attended, and any degrees or certifications you have earned.
06
Include information about any professional licenses or certifications that you hold, including the issuing authority and expiration dates.
07
If relevant, provide information about any previous law enforcement or military experience you have, including dates, positions held, and reason for leaving.
08
If required, disclose any criminal convictions or pending charges, providing accurate details about dates, charges, and outcomes.
09
Be sure to sign and date the biographical affidavit, as well as provide any additional documents or supporting evidence requested.
10
Double-check your completed affidavit for accuracy and completeness before submitting it to the department.

Who needs biographical affidavit - department?

01
Individuals applying for certain positions within a department or agency may be required to fill out a biographical affidavit.
02
This may include applicants for law enforcement positions, government jobs, or positions with access to sensitive information or resources.
03
The department or agency will typically specify the need and provide the necessary form for applicants to complete.
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Biographical affidavit - department is a form or document that provides detailed information about an individual's background and qualifications.
Certain employees or officials within a department may be required to file a biographical affidavit.
The biographical affidavit - department usually requires individuals to provide personal information such as name, address, education, work experience, and any relevant qualifications.
The purpose of a biographical affidavit - department is to ensure transparency and accountability in the hiring or appointment process.
Information such as educational background, work experience, qualifications, and any potential conflicts of interest must be reported on a biographical affidavit - department.
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