Instructions for Form AID-LI-AGY-ADD-TI, AID-LI-AGY-TERM-TI "Title Agent Affiliation and Termination" - Arkansas

This document contains official instructions for Form AID-LI-AGY-ADD-TI, and Form AID-LI-AGY-TERM-TI. Both forms are released and collected by the Arkansas Insurance Department. An up-to-date fillable Form AID-LI-AGY-ADD-TI is available for download through this link. The latest available Form AID-LI-AGY-TERM-TI can be downloaded through this link.

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Revised 7/08
ARKANSAS INSURANCE DEPARTMENT
LICENSE DIVISION
RD
1200 WEST 3
STREET
LITTLE ROCK, AR 72201
PHONE: 501-371-2750
FAX: 501-683-2604
WEBSITE:
http://www.insurance.arkansas.gov/License/divpage.htm
TITLE AGENCY
TITLE AGENT AFFILIATION AND TERMINATION INSTRUCTIONS
Title Agent Affiliation (Adding Title Agent to Title Agency License) :
1. Complete form AID-LI-AGY-ADD-TI. The form may be reproduced or computer generated; however, it must
be generated in the same format.
2. The information must be legible or the form will be returned unprocessed.
3. All title agency information must be completed.
4. All information for the title agent must be completed.
5. The form must be signed and dated by an agency official.
6. Incomplete forms will be returned unprocessed.
7. The business entity check for the fee amount must be payable to the Arkansas Insurance Department Trust
Fund. (See Form AID-LI-AGY-ADD-TI for fees.)
8. Once the addition has been processed, the title agency will receive a certification from the Department showing
this individual has been added to its license. This certification must be presented to all insurance companies for
which the producer will write business for the business entity (agency) in order for the insurance company to
appoint the title agent.
Title Agent Termination of Affiliation from Title Agency License:
1. Complete form AID-LI-AGY-TERM-TI. The form may be reproduced or computer generated; however, it
must be generated in the same format.
2. The information must be legible or the form will be returned unprocessed.
3. All title agency information must be completed.
4. All information for the title agent must be completed.
5. The form must be signed and dated by an agency official.
6. Incomplete forms will be returned unprocessed.
7. The title agency check for the fee amount must be payable to the Arkansas Insurance Department Trust Fund.
(See Form AID-LI-AGY-TERM-TI for fees.)
8. Once the termination has been processed, title agency will receive a certification from the Department showing
this individual has been terminated from its license. This certification must be presented to all insurance
companies for which the producer has been writing business for the business entity (agency) in order for the
insurance company to terminate the producer’s appointment.
If you have questions regarding adding or terminating a title agent to a resident title agency please contact Lisa
Hunt at (501) 371-2757.
You can view the title agents listed on your title agency license by visiting the Department’s Web site at
http://insurance.arkansas.gov/is/Agency.
Revised 7/08
ARKANSAS INSURANCE DEPARTMENT
LICENSE DIVISION
RD
1200 WEST 3
STREET
LITTLE ROCK, AR 72201
PHONE: 501-371-2750
FAX: 501-683-2604
WEBSITE:
http://www.insurance.arkansas.gov/License/divpage.htm
TITLE AGENCY
TITLE AGENT AFFILIATION AND TERMINATION INSTRUCTIONS
Title Agent Affiliation (Adding Title Agent to Title Agency License) :
1. Complete form AID-LI-AGY-ADD-TI. The form may be reproduced or computer generated; however, it must
be generated in the same format.
2. The information must be legible or the form will be returned unprocessed.
3. All title agency information must be completed.
4. All information for the title agent must be completed.
5. The form must be signed and dated by an agency official.
6. Incomplete forms will be returned unprocessed.
7. The business entity check for the fee amount must be payable to the Arkansas Insurance Department Trust
Fund. (See Form AID-LI-AGY-ADD-TI for fees.)
8. Once the addition has been processed, the title agency will receive a certification from the Department showing
this individual has been added to its license. This certification must be presented to all insurance companies for
which the producer will write business for the business entity (agency) in order for the insurance company to
appoint the title agent.
Title Agent Termination of Affiliation from Title Agency License:
1. Complete form AID-LI-AGY-TERM-TI. The form may be reproduced or computer generated; however, it
must be generated in the same format.
2. The information must be legible or the form will be returned unprocessed.
3. All title agency information must be completed.
4. All information for the title agent must be completed.
5. The form must be signed and dated by an agency official.
6. Incomplete forms will be returned unprocessed.
7. The title agency check for the fee amount must be payable to the Arkansas Insurance Department Trust Fund.
(See Form AID-LI-AGY-TERM-TI for fees.)
8. Once the termination has been processed, title agency will receive a certification from the Department showing
this individual has been terminated from its license. This certification must be presented to all insurance
companies for which the producer has been writing business for the business entity (agency) in order for the
insurance company to terminate the producer’s appointment.
If you have questions regarding adding or terminating a title agent to a resident title agency please contact Lisa
Hunt at (501) 371-2757.
You can view the title agents listed on your title agency license by visiting the Department’s Web site at
http://insurance.arkansas.gov/is/Agency.