Virginia IT Agency 2026

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  1. Click ‘Get Form’ to open the Virginia IT Agency document in the editor.
  2. Begin by selecting either 'Appointment Request' or 'Appointment Termination' at the top of the form. Ensure you choose only one option.
  3. In Section 1, provide the Insurer Information. Fill in the name of the insurance company and select the appropriate license type from the options provided.
  4. Enter your NAIC or Federal Tax ID number and specify the appointment type along with its corresponding statute.
  5. If applicable, complete Section 2 for Sponsoring Agent or Agency details, including their TDI License Number and authorized lines for subagent appointment.
  6. Finally, ensure all required fields are filled out accurately, sign where indicated, and provide your mailing address before submitting.

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2021 4.8 Satisfied (87 Votes)
2021 4.3 Satisfied (173 Votes)
2017 4 Satisfied (61 Votes)
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