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Get nysid form 41c w 2011-2024

the insured as required by Section 2118 of the New York Insurance Law and Regulation 41? 4. DECLINATION INFORMATION (a) Yes No Has the Superintendent determined that declinations are not required for this type of risk? IF ANSWER TO QUESTION (a) IS “YES”, SKIP QUESTIONS (b) AND (c) GO ON TO THE AFFIRMATION SECTION. (b) Yes No Does the insured qualify as an “Exempt Commercial Purchaser” that made a written request consistent with the requirements of New York Insurance Law Section .

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