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Click ‘Get Form’ to open the oir b1 1562 in the editor.
Begin by entering the 'Name of Insurance Carrier' at the top of the form. This identifies the insurance company associated with the policy.
Next, fill in the 'Name of Individual or Business Conducting the Audit.' If this is not an employee of the insurance company, provide their details here.
Input the 'Name of Insured' and 'Policy Number' to specify who is covered under this policy.
Indicate the 'Policy Period From' and 'to' dates to clarify the duration of coverage.
In the statement section, confirm your role as Partner, Sole Proprietor, or Corporate Officer by signing and dating where indicated. Ensure you attach a copy of proof of identification.

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