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Florida form oir c1 1423-2026

The document is a biographical affidavit required by the Office of Insurance Regulation for company admissions. It collects detailed personal and professional information from an applicant, including citizenship, education, employment history, licenses, and any legal or regulatory issues. The affidavit emphasizes confidentiality and includes sections for background checks and disclosures related to the applicant's qualifications and history in relation to insurance regulation.

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Click ‘Get Form’ to open it in the editor.
Begin by entering the Applicant Name and NAIC No. at the top of the form. Ensure that you provide accurate information as this is crucial for identification.
Proceed to fill out the Biographical Affidavit section. Here, you will need to provide your full name, address, and contact number. Make sure to print or type clearly.
Answer all questions regarding citizenship, occupation, and education thoroughly. If additional space is needed, attach a separate sheet as indicated.
Complete the employment record section by listing your past twenty years of employment history. Include details such as employer names, positions held, and dates of employment.
Review all sections for accuracy before signing and dating the affidavit at the bottom of the form. This ensures that your submission is complete and correct.

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