This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Authorized Representative Change Request Form is a legal document that was released by the South Carolina Department of Insurance - a government authority operating within South Carolina.
Q: What is an Authorized Representative Change Request Form?
A: An Authorized Representative Change Request Form is a form used in South Carolina to request a change in the authorized representative for a specific purpose.
Q: Why would I need to submit an Authorized Representative Change Request Form?
A: You would need to submit this form if you would like to change the authorized representative assigned to handle certain matters on your behalf in South Carolina.
Q: What information is required on the Authorized Representative Change Request Form?
A: The form typically requires information such as your name, contact information, the name of the current authorized representative, and the name of the proposed new authorized representative.
Q: Is there a fee for submitting an Authorized Representative Change Request Form?
A: This may vary. It's best to check with the specific agency or department for any applicable fees.
Form Details:
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the South Carolina Department of Insurance.