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The affidavit must be completed and signed by a member of your firm who has 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by filling in the Legal Business Name and D/B/A Name if applicable. Ensure all fields are completed accurately to prevent processing delays.
  3. In the Ownership section, list all individuals involved in the management of your business. If necessary, attach an additional list.
  4. Complete the Licensing Information section by providing your insurance certificate numbers and their respective states along with expiration dates.
  5. Initial each of the eight declaration statements to affirm your understanding and compliance, then sign and date the form in front of a Notary.
  6. Finally, ensure that you mail the completed and notarized affidavit to iiX at the specified address for processing.

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