Fis 0797 michigan-2026

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  1. Click ‘Get Form’ to open the fis 0797 in the editor.
  2. Begin by entering the NAIC Company Number and the name of the specific insurer. Remember, only one insurance company name is allowed per form.
  3. Fill in the insurer's address, contact person's name, phone number, and email address. Specify the effective date of coverage using MM/DD/YY format.
  4. Next, provide information about the insured. Enter their name, mailing address, location of risk, and type of business. Indicate if this is a renewal of previously approved coverage.
  5. For coverage details, specify the type of coverage and limits of liability. If applicable, include underlying limits and last annual premium amount.
  6. Finally, certify your submission by signing as an authorized representative and providing your contact details. Ensure all required fields are completed before submitting.

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DIFS regulates the business of insurance transacted in Michigan. Our authority pertains to contracts issued in Michigan. DIFS accepts complaints from parties involved in the contract, such as the insured, policyholder, or certificate holder.
For more information about the LARA, please visit .michigan.gov/lara. Questions? Call 517-335-9700.
Call the Secretary of State Information Center with questions about your drivers license, state ID, vehicle registration or license plate at (888) 767-6424.
Anita Fox - Director - Michigan Department of Insurance and Financial Services | LinkedIn.
Office locations of the Illinois Department of Insurance are now open to the public. We encourage consumers to continue to use the IDOI website, including the Help Center, or to call 866-445-5364 rather than visiting the office.

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