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Get Risk Purchasing Group Fillable Form Delaware

E Department of Insurance. When registering, a PG must provide the Delaware Department of Insurance with the following: 1. Completed NAIC Uniform Registration Form (attached). Include the following information: Name, address, zip code, phone number and state of domicile of PG. Federal Employer s Identification Number (EIN). if applicable Mailing address and contact person for the PG (if different than physical address) Type of insurance to be provided and the nature of the business of PG mem.

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