This version of the form is not currently in use and is provided for reference only. Download this version of Form 11 for the current year.
This is a legal form that was released by the National Association of Insurance Commissioners on December 9, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 11 Uniform Certificate of Authority Application (UCAA) Biographical Affidavit?
A: Form 11 is a document used for providing biographical information as part of a Uniform Certificate of Authority Application (UCAA).
Q: What is a Uniform Certificate of Authority Application (UCAA)?
A: UCAA is a standardized application used by insurance companies to obtain licenses in multiple states.
Q: What type of information is required in the biographical affidavit?
A: The biographical affidavit requires personal and professional information, including employment history, education, and disclosure of any criminal or regulatory actions.
Q: Is Form 11 specifically for the USA and Canada?
A: Yes, Form 11 is used in both the USA and Canada.
Form Details:
Download a fillable version of Form 11 by clicking the link below or browse more documents and templates provided by the National Association of Insurance Commissioners.