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The GID 391 AL form, officially titled the Request for Clearance Letter, plays a crucial role for Georgia resident licensees looking to relocate their insurance licenses to another state. By submitting this form, individuals signal their intent to cancel their current Georgia license while applying for a new one out of state. This process is not without its requirements; applicants must submit a fee of $10.00 for each clearance letter requested, alongside their original Georgia Insurance License. Failure to include the license mandates an explanation, highlighting the importance of diligence in preparation. The form also necessitates clear identification of the licensee with complete personal details, including mailing address and phone number. Additionally, it's imperative for license holders who possess multiple licenses to note that requesting a clearance letter will imply the cancellation of all licenses held. Therefore, understanding the implications and ensuring accurate completion of the GID 391 AL is vital for anyone considering a transition to a different state’s licensing requirements.

Gid 391 Al Example

OFFICE OF COMMISSIONER OF INSURANCE

www.oci.ga.gov

COMMISSIONEROF INSURANCE •INDUSTRIAL LOAN COMMISSIONER•SAFETY FIRE COMMISSIONER

Ralph T. Hudgens, Commissioner

Phone: 855-235-5174E-mail: GAInslicensing@psionline.com

Request For Clearance Letter

AGENTS LICENSING

GID-391-AL AUG2014

1.General Instructions

A.A clearance letter is used by Georgia resident licensees who wish to cancel their Georgia license and apply for a license in a new resident state.

B.The fee for each clearance letter is $10.00.

C.You must submit your Georgia Insurance License with this request. If you have not submitted your license with this request, explain why your license is not included with this request.

I have included my original license card with this request.

I have not included my original license with this request because:

D.Return this request along with payment to: PSI SERVICES LLC / GEORGIA INSURANCE DEPT.

2.Licensee Instructions

Print your complete name as it appears on your Georgia insurance license.

Licensee:

 

Last Name

First Name

 

 

 

MI

Suffix (Jr., Sr.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing Address (Suite number, floor number, etc…)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip Code 5-digits

+4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

New Address (Suite number, floor number, etc…)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

 

Zip Code 5-digits

+4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Residential Phone Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

3.

License Fee and Clearance Letter Request

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

License Number

Social Security Number

 

 

 

National Producer Number

Insert the number of clearance letters requested. Multiply the number of clearance letters requested per license type by the fee of $10.00 per letter. Enter the total in the “Total Amount Enclosed” space.

NOTE: If you hold more than one license, a request for a clearance letter for one license type implies cancellation of all licenses held.

 

Clearance Letter(s) requested for

 

 

 

 

 

 

the following license type(s)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number Of

 

 

FEE

 

TOTAL AMOUNT

 

 

Clearance Letters Requested

 

(per letter requested)

 

ENCLOSED

 

 

 

 

X

$ 10.00

$

 

 

 

 

 

 

 

 

 

 

WARNING: By requesting a clearance letter, you are canceling your current Georgia license for all license types.

Licensee Signature

Date

MAIL FEES TO:

Bank of America Lockbox Services

Lockbox 742983, 6000 Feldwood Road, College Park, GA 30349

TOTAL OF ALL FEES DUE  $

This office does not discriminate in employment, programs or services. Disabled persons can contact 404-656-2056 to obtain this document in another format.

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Form Characteristics

Fact Name Detail
Purpose of the Form The GID 391 AL form is used by Georgia resident licensees who want to cancel their Georgia insurance license and apply for a license in a new resident state.
Fee for Clearance Letter A fee of $10.00 is required for each clearance letter requested as part of this process.
License Submission Requirement Licensees must submit their original Georgia Insurance License with the request for a clearance letter.
Multiple Licenses If a licensee holds more than one license, requesting a clearance letter for one type implies cancellation of all held licenses.
Mailing Information Requests and payments must be sent to: PSI Services LLC / Georgia Insurance Dept.
Disability Accommodations This office provides accommodations for disabled persons. They may contact 404-656-2056 for assistance or alternative formats of this document.

Guidelines on Utilizing Gid 391 Al

Once you have the GID-391-AL form, carefully follow the steps detailed below to complete it accurately. Ensuring that the information is correct and that all necessary components are included will help facilitate the processing of your request.

  1. Begin by printing your complete name as it appears on your Georgia insurance license in the appropriate fields for Licensee’s Last Name, First Name, MI, and Suffix.
  2. Fill out your Mailing Address, including any suite number or floor number, as well as your city, state, and zip code.
  3. Input your New Address, again including suite number or floor number, along with the city, state, and zip code.
  4. Provide your Residential Phone Number in the designated space.
  5. Enter your License Number, Social Security Number, and National Producer Number as required.
  6. State the number of clearance letters you are requesting.
  7. Calculate the total fee by multiplying the number of clearance letters requested by $10.00, and write this amount in the “Total Amount Enclosed” space.
  8. Remember that requesting a clearance letter means you are canceling all your current Georgia licenses. Sign and date the Licensee Signature and Date sections.
  9. Prepare your payment as required and send the completed form along with your payment to the specified address: PSI Services LLC / Georgia Insurance Dept.

What You Should Know About This Form

What is the purpose of the GID 391 Al form?

The GID 391 Al form is a request for a clearance letter for Georgia resident licensees who intend to cancel their Georgia insurance license in order to apply for a license in a new resident state. This process is necessary for individuals moving out of Georgia and seeking to continue their insurance practice in another state.

What is the fee associated with the GID 391 Al form?

The fee for each clearance letter requested via the GID 391 Al form is $10.00. Licensees must calculate the total amount enclosed by multiplying the number of clearance letters requested by this fee.

What should be submitted along with the GID 391 Al form?

When submitting the GID 391 Al form, it is required to include the original Georgia Insurance License. If the original license is not submitted, an explanation must accompany the form to clarify the absence of the license.

Where should the completed GID 391 Al form and payment be sent?

The completed GID 391 Al form, along with the payment, should be mailed to PSI Services LLC / Georgia Insurance Department. It is crucial to ensure that all documents are sent to the correct address to avoid processing delays.

What information needs to be provided on the form?

The licensee must provide their name as it appears on the Georgia insurance license, mailing address, new address (if applicable), residential phone number, license number, social security number, and national producer number. This information is essential for processing the request efficiently.

What does requesting a clearance letter imply?

By requesting a clearance letter, the licensee is indicating the intention to cancel their current Georgia insurance license for all license types. This action is irrevocable, so licensees should consider their decision carefully before proceeding.

How can multiple clearance letters be requested?

Licensees holding more than one insurance license can request multiple clearance letters on the same form. The request must specify the number of clearance letters needed for each license type, and the total fee will need to be calculated accordingly.

What should a licensee do if they need assistance with the GID 391 Al form?

If a licensee encounters difficulties or has questions about completing the GID 391 Al form, they may contact the Georgia Insurance Department at the telephone number provided: 855-235-5174 or via email at GAInslicensing@psionline.com. Assistance is available to ensure the form is filled out correctly.

Who can request a GID 391 Al form?

The GID 391 Al form can be requested by any Georgia resident licensee who intends to cancel their insurance license in Georgia for relocation purposes. The form is specific to individuals holding licenses in the insurance sector who plan to move to a different state.

Common mistakes

When filling out the GID 391 Al form, one common mistake is neglecting to include the original Georgia insurance license. The submission of your license with the request is not just a formality; it’s a requisite for the processing of your clearance letter. In the absence of this critical component, the form could be deemed incomplete, delaying the entire application process. If you find it necessary to explain why your license is not included, ensure that this explanation is clear and concise.

Another frequent error involves inaccuracies in the personal details section. It’s imperative that individuals print their names exactly as they appear on their official documents. Discrepancies in the name, such as variations in spelling or omission of initials, can lead to confusion and further complications. Be meticulous in verifying that your name and other personal information are correct before submitting the form.

Moreover, many applicants overlook the financial obligations associated with the clearance letter request. The form specifically states the fee for each letter is $10.00, but some fail to calculate the total amount accurately. Multiplying the number of letters requested by the fee is a crucial step. Failing to provide the correct payment can result in the rejection of the request, leading to additional delays and inconvenience.

Lastly, individuals often underestimate the importance of signatures and dates. A signature is not merely a formality; it is a confirmation that the information provided is accurate and that the applicant understands the implications of requesting a cancellation of their current license. Additionally, omitting the date can lead to administrative errors or confusion about the timeline of the request. Always remember to sign and date the form clearly to prevent unwanted complications.

Documents used along the form

When handling matters related to the GID 391 AL form, several other documents often play a crucial role in the process. Understanding these additional forms can facilitate a smoother application experience for those transitioning their insurance licenses to another state.

  • License Transfer Application: This document is essential for individuals seeking to officially transfer their insurance licenses from one state to another. It typically requires detailed personal and professional information and may include proof of the existing license status.
  • Authorization for Release of Information: This form grants consent for the transfer of information from the previous state’s insurance department to the new state. It ensures that all relevant data related to one's insurance history is shared accurately and promptly.
  • License Cancellation Request: Applicants may need to submit this request separately to formally cancel their Georgia insurance license. It contains essential details and may be necessary for compliance with state regulations before applying elsewhere.
  • Payment Authorization Form: Since there are fees associated with the application process, a payment authorization form allows applicants to securely provide their payment details for processing any required fees. This ensures timely handling of their submission.
  • Continuing Education Documentation: Some states require proof of completed continuing education courses prior to granting a new license. This documentation evidences compliance with the educational requirements set by the new state’s licensing board.

Collectively, these documents support individuals in navigating the process of clearing and transferring their insurance licenses effectively. Proper preparation ensures that all required paperwork is submitted, paving the way for a seamless transition to the new licensee status in another state.

Similar forms

The GID 391 AL form, which is a request for a clearance letter related to the cancellation of a Georgia insurance license, shares similarities with several other important documents. Here are six of those documents, each explained in terms of their similarities to the GID 391 AL form:

  • Request for License Transfer: Like the GID 391 AL form, this document is used when a professional seeks to move their license from one state to another. It generally requires details about the existing license and may involve a fee as well.
  • Application for New License: When someone applies for a new license in a different jurisdiction, they often need to provide information similar to what is requested on the GID 391 AL form. This includes personal identification details and previous license information.
  • License Cancellation Form: This document specifically seeks to cancel a current license. The GID 391 AL form similarly indicates that the act of requesting a clearance letter entails the cancellation of all current licenses held by the applicant.
  • Change of Address Form: When a licensee moves, they must often update their address with the licensing authority. Both forms require relevant personal information and may incur a processing fee.
  • Continuing Education Completion Certificate: Many states require licensees to submit evidence of continuing education. Like the GID 391 AL form, it often demands specific personal information and can be part of maintaining or renewing a license.
  • Insurance Agent Registration Form: This document allows an individual to register as an insurance agent, often requiring detailed personal information and previous licensing history, echoing the requirements of the GID 391 AL form.

Each of these documents serves a unique purpose in the professional world but maintains similar core elements, such as personal information, the implication of license status changes, and sometimes even associated fees.

Dos and Don'ts

When filling out the GID 391 AL form, it's essential to follow certain guidelines to ensure a smooth process. Here are some do's and don’ts to consider:

  • Do: Print your name exactly as it appears on your Georgia insurance license.
  • Do: Include your original Georgia insurance license with the request.
  • Do: Double-check all personal information for accuracy, including your social security number.
  • Do: Clearly state your reason if your original license is not included.
  • Do: Ensure your payment is enclosed, using a check or money order made out to Bank of America.
  • Don’t: Leave any sections blank; all requested information is necessary for processing.
  • Don’t: Forget to sign and date the form before mailing it in.
  • Don’t: Use an incorrect mailing address; verify that it matches the instructions exactly.
  • Don’t: Request a clearance letter for more than one license type without knowing it cancels all licenses.

Following these guidelines can help you avoid delays or complications. Make sure to take your time and review your submission thoroughly before sending it off. This diligence can make a significant difference in the outcome of your request.

Misconceptions

Misconceptions about the GID 391 Al form can lead to confusion for those looking to request a clearance letter. Here are eight common misconceptions, along with clarifications:

  • Only Georgia residents need this form. While it is primarily for Georgia residents, individuals transferring from Georgia may still need it even if they are not currently residing in Georgia.
  • The clearance letter is free. In fact, there is a fee of $10.00 for each clearance letter requested.
  • You don’t need to submit your current license. This is incorrect. You must include your Georgia insurance license with your request.
  • Requesting clearance does not affect other licenses. A request for a clearance letter implies cancellation of all licenses held in Georgia, not just the one specified.
  • The clearance letter is optional. For anyone looking to cancel their Georgia license and apply in another state, it is mandatory to obtain a clearance letter.
  • You can submit the form without payment. Your request will not be processed unless the appropriate fee is included with your submission.
  • The clearance letter process is quick and simple. It can take time for processing, so applicants should plan accordingly to avoid delays in obtaining their new license.
  • There is no penalty for mistakes on the form. Errors can lead to delays. It is crucial to fill out the form correctly to ensure smooth processing.

Key takeaways

1. Purpose of the Form: The GID 391 AL form is essential for Georgia resident licensees who intend to cancel their Georgia insurance license while applying for a new license in another state.

2. Fee Requirement: A fee of $10.00 is required for each clearance letter. It's important to calculate the total based on the number of clearance letters requested to ensure proper payment.

3. Submission Directions: Along with the completed form, you must submit your original Georgia insurance license. If it cannot be included, a clear explanation is necessary to avoid delays in processing.

4. Cancellation Warning: Be aware that requesting a clearance letter results in the cancellation of all licenses held in Georgia. Double-check the implications before submitting your request.