Form DFS-H2-1105 Affidavit of Insurance Activity While Not Properly Appointed - Florida

Form DFS-H2-1105 Affidavit of Insurance Activity While Not Properly Appointed - Florida

What Is Form DFS-H2-1105?

This is a legal form that was released by the Florida Department of Financial Services - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the Form DFS-H2-1105?A: The Form DFS-H2-1105 is an Affidavit of Insurance Activity While Not Properly Appointed specifically for Florida.

Q: What does the affidavit of insurance activity while not properly appointed mean?A: The affidavit of insurance activity while not properly appointed refers to a form used to attest that an individual or entity has engaged in insurance-related activities in Florida without being properly appointed or licensed.

Q: Why is this affidavit necessary?A: This affidavit is necessary to provide evidence and disclosure of insurance activities conducted without proper authorization, ensuring compliance with regulatory requirements in Florida.

Q: Who needs to complete this affidavit?A: Any individual or entity that has engaged in insurance activities in Florida without proper appointment or licensing may need to complete this affidavit.

Q: What should be included in the affidavit?A: The affidavit should include information about the insurance activities conducted, the dates of the activities, the reasons for not being properly appointed or licensed, and any efforts made to rectify the situation.

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Form Details:

  • Released on June 1, 2014;
  • The latest edition provided by the Florida Department of Financial Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form DFS-H2-1105 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Florida Department of Financial Services.

Download Form DFS-H2-1105 Affidavit of Insurance Activity While Not Properly Appointed - Florida

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