Florida department of insurance form oir a3 467 lr 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Licensee's name and address in the designated fields. Ensure that all information is accurate to avoid processing delays.
3. Fill in the Federal Employer ID Number and FL Company Code. These identifiers are crucial for your application.
4. Specify the renewal period by entering the appropriate dates in the format provided, ensuring they align with your license renewal timeline.
5. In the compliance section, confirm your intent to renew by reviewing the statement carefully before proceeding to sign.
6. Have the President, Secretary, and Treasurer sign and date their respective sections. This step is essential for validating your application.
7. Once completed, detach the form from any accompanying documents and prepare your remittance of $100.00 made payable to the Florida Department of Financial Services.
8. Submit your application and payment to the specified address before March 1 to ensure timely processing.

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