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1. Click ‘Get Form’ to open the Individual Agent License Surrender Form in the editor.
2. Begin by filling in your name as printed on your license in the designated field.
3. Enter your National Producer Number (NPN) accurately to ensure proper identification.
4. Provide your address and Ohio License Number in the respective fields for verification purposes.
5. Fill in your daytime phone number and date of birth to complete your personal information.
6. In the section labeled 'Reason for requesting surrender of license(s)', clearly state your reason for surrendering.
7. Indicate which license authority you wish to surrender by checking the appropriate boxes provided.
8. Finally, sign and date the form at the bottom to confirm your understanding of the surrender conditions.

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