What is the purpose of the De Ins Illinois form?
The De Ins Illinois form is a necessary supporting document for individuals seeking licensure under the Illinois Compiled Statutes, specifically 225 ILCS DE-INS 446/1 et seq. This form verifies that the applicant has the required comprehensive commercial general liability insurance, which must be in the name of the individual license holder. Completing this form is essential for both new applicants and those renewing their licenses, as it ensures compliance with state regulations.
Who needs to fill out the De Ins Illinois form?
Both new applicants and renewal applicants must complete the De Ins Illinois form. New applicants need to provide their personal information, including their name, date of birth, and social security number. They must also have their authorized insurance agent fill out the remaining sections of the form. Renewal applicants should list their individual license numbers under the relevant acts, ensuring that all information is accurate and up to date.
What information is required on the De Ins Illinois form?
The form requires several key pieces of information. Applicants must provide their full name as it appears on the application, date of birth, social security number, and a specific address. Additionally, new applicants must include their profession name and code. The insurance agent must also fill out details about the insurance company, including the policy number, type of policy, effective and expiration dates, and the agent's contact information. It's important that all information is complete and accurate to avoid processing delays.
What happens if the De Ins Illinois form is not completed correctly?
If the De Ins Illinois form is not completed correctly or if required information is missing, the application for licensure may not be processed. This could lead to delays in obtaining a license or renewal. Therefore, it is crucial for applicants to ensure that all sections of the form are filled out accurately and that the insurance coverage meets the specified requirements, including a minimum of $1,000,000 in liability insurance.