Form l152 2010-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Arizona Insurance License number if you are already licensed. If not, leave this field blank.
3. Fill in your full name: Last, First, and Middle. Ensure that the names match your identification documents.
4. Provide your business address as shown on your license or application, including City, State, and ZIP code.
5. Select one form of identification from the list provided by marking an 'X' next to your choice. Remember to staple a photocopy of both sides of the selected ID to the back of the form.
6. Sign and date the form at the bottom to certify that all information is accurate and that you are legally authorized to be present in the United States.

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