Naic Form 11 - Web ©national association of insurance commissioners october 6, 2004 form 11 4 12. In responding to the following, if the record has been sealed or expunged, and the affiant has personally verified that the record was sealed or expunged, an affiant may respond “no” to the question. Must be completed by each partner, officer, and director, and each other entity owning 25% or more of a service company applicant. Web bio affidavit ucaa form 11 20201208.pdf. Web naic biographical affidavit. The naic biographical affidavit (form 11) must be completed for each officer and director and any controlling persons.
Web bio affidavit ucaa form 11 20201208.pdf. Must be completed by each partner, officer, and director, and each other entity owning 25% or more of a service company applicant. In responding to the following, if the record has been sealed or expunged, and the affiant has personally verified that the record was sealed or expunged, an affiant may respond “no” to the question. Web ©national association of insurance commissioners october 6, 2004 form 11 4 12. Web naic biographical affidavit. The naic biographical affidavit (form 11) must be completed for each officer and director and any controlling persons.