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LIGApptQuestionaire revised

LIGApptQuestionaire revised 2026

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The document is an Authorized Independent Agency Application and Commercial Insurance Broker Agreement, outlining the requirements and terms for a brokerage or agency to become authorized to broker commercial insurance contracts. It includes sections for agency information, personnel details, business portfolio, compliance with licensing regulations, commission structures, premium handling, policy issuance, and termination conditions. The agreement emphasizes the independent status of the broker, their responsibilities regarding client representation, and the necessity of maintaining errors and omissions insurance.

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Click ‘Get Form’ to open the LIGApptQuestionaire revised in the editor.
Begin by entering the name of your brokerage or agency, along with the date and address details in the designated fields.
Indicate whether the appointment is for commercial or personal lines, and select the appropriate type of entity (individual, partnership, corporation).
Fill in your marketing area and code number, then specify if your agency has a written marketing plan and provide commission details.
List all principals, partners, and key personnel along with their licensing status and years of insurance experience.
Complete the business portfolio section by detailing annual volumes and loss ratios for various lines of business.
Ensure all required documents are attached before submitting the application checklist at the end of the form.

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