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Please Print Using Dark Ink. O. Box 1650
Little Rock, Arkansas 72203Office Use Only
Policy NumberACCIDENT POLICY
APPLICATION & CHANGE FORM
New ApplicationAgent Name/Supergroup Number
Effective Date
Dept./LOC.
ClassChange
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How to fill out agent namenumber
01
Gather all necessary information including name and contact number of the agent.
02
Locate the specific field or section designated for entering agent name and number.
03
Enter the agent's full name in the designated space.
04
Enter the agent's contact number in the designated space.
05
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06
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Who needs agent namenumber?
01
Any individual or organization that is working with or representing an agent, such as in a business partnership or contractual agreement, may need the agent name and number for communication and reference purposes.
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What is agent namenumber?
The agent namenumber is a unique identifier assigned to a registered agent representing a business entity, primarily for tax and legal purposes.
Who is required to file agent namenumber?
Businesses that appoint a registered agent must file the agent namenumber to ensure compliance with state regulations.
How to fill out agent namenumber?
To fill out the agent namenumber, provide the registered agent's name, address, and contact information as required by the filing form specific to your jurisdiction.
What is the purpose of agent namenumber?
The purpose of the agent namenumber is to streamline communication between state agencies and the registered agent, ensuring proper handling of legal documents and compliance notifications.
What information must be reported on agent namenumber?
The information that must be reported includes the name and address of the registered agent, the business entity's name, and any other required identification details as specified by the state.
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