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Instructions: • Complete and include this form with your paper submission. Enter the name of the proposed corporation exactly as it is shown on the Certificate of Good Standing from the foreign jurisdiction.Instructions: • Complete and include this form with your submission. This information only will be used to communicate with you in writing about the submission. Statement and Designation by. Statement And Designation By Foreign Corporation-Insurer Form. This is a California form and can be use in Corporations Secretary Of State. (Use this paragraph if the process agent is a natural person.) , a natural person residing in the State of. California, whose complete street address is. Select 'Foreign entity' to complete the Statement of Foreign Entity Authority form.