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The GID 103 Al form serves as a vital instrument for individuals seeking to obtain or renew a resident insurance license in Georgia. This comprehensive application encompasses various essential elements, including personal information, residency details, and the desired type of insurance license. Applicants must specify whether they are applying for a new license, a temporary license, or reinstating a previous license. Additionally, the form categorizes different classes of insurance agents such as life, property, casualty, and public adjusters, allowing individuals to clearly indicate the specific license they seek. A mandatory questionnaire is included to screen for any concerns related to prior financial obligations or criminal history, ensuring regulatory compliance. Moreover, the application requires accompanying documentation, including a citizenship affidavit and, in specific cases, proof of experience or fingerprinting results. The fee structure varies based on the type of license requested and is designed to reflect the administrative costs incurred by the licensing body. Overall, the GID 103 Al form not only facilitates the licensing process but also upholds the integrity and professionalism of the insurance industry in Georgia.

Gid 103 Al Example

OFFICE OF COMMISSIONER OF INSURANCE

www.oci.ga.gov

COMMISSIONER OFINSURANCE •INDUSTRIAL LOAN COMMISSIONER•SAFETY FIRE COMMISSIONER

Jim Beck, Commissioner

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

RESIDENT INSURANCE LICENSE APPLICATION

AGENTS LICENSING

GID-103-AL JAN2019

 

 

ONLINE APPLICATION SERVICES

LICENSURE INFORMATION

 

SCHEDULING AN EXAMINATION

 

 

 

 

 

 

 

 

www.sircon.com/georgia

www.oci.ga.gov

 

www.pearsonvue.com or 1-800-274-0488

 

 

 

 

 

 

 

 

LICENSE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I.

 

 

 

LICENSE

 

 

NEW TEMPORARY LICENSE *

 

TEMPORARY LICENSE RENEWAL*

 

 

REINSTATEMENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

II. TYPE OF LICENSE

 

III. CLASS (ES) OF INSURANCE

 

 

AGENT

 

 

 

 

LIMITED SUBAGENT **

 

LIFE, ACCIDENT & SICKNESS

PROPERTY AND CASUALTY

 

ADJUSTER

 

 

 

 

PUBLIC ADJUSTER

 

ACCIDENT & SICKNESS

TITLE

 

 

COUNSELOR

 

 

 

 

SURPLUS LINES BROKER

 

CASUALTY

TRAVEL ACCIDENT & SICKNESS

 

CROP HAIL ADJUSTER

WORKERS

 

CREDIT

TRAVEL TICKET

 

 

FRATERNAL AGENT

 

 

 

COMPENSATION ADJUSTER

 

LIFE

VARIABLE PRODUCTS

 

LIMITED HEALTH COUNSELOR

 

 

 

LTD. COUNSELOR-HEALTH

WORKERS COMPENSATION

 

 

 

 

 

 

 

 

 

 

 

 

 

PERSONAL LINES

(FOR ADJUSTER)

 

 

 

 

 

 

 

 

 

 

 

 

 

PROPERTY

 

 

 

 

 

 

 

* FOR A

 

1.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF SPONSORING INSURANCE COMPANY

 

 

 

 

 

 

 

NAIC COMPANY CODE

TEMPORARY

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LICENSE:

 

2.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF SUPERVISING AGENT

 

 

 

 

 

 

 

LICENSE NUMBER

 

** FOR A

 

3.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

LIMITED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBAGENT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAME OF SPONSORING AGENT

 

 

 

 

 

 

 

LICENSE NUMBER

 

LICENSE:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

APPLICANT’S INFORMATION:

4.

5.

8.

9.

10.

11.

12.

FULL LEGAL NAME:

 

 

 

(FIRST)

(MIDDLE)

 

(LAST)

 

 

 

 

(SUFFIX)

SOCIAL SECURITY NUMBER:

 

 

 

 

 

 

6.

DATE OF BIRTH:

 

 

 

7.

SEX:

 

RESIDENCE ADDRESS (PHYSICAL LOCATION):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(STREET AND NUMBER REQUIRED)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(CITY)

(STATE)

(ZIP)

(COUNTY)

(HOME TELEPHONE)

RESIDENCE MAILING ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(IF OTHER THAN 8)

 

 

 

(INCLUDE P.O.BOX, STREET, CITY, STATE, ZIP CODE AND COUNTY)

 

 

 

 

 

BUSINESS ADDRESS (PHYSICAL LOCATION):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(BUSINESS NAME)

(STREET NUMBER, STREET NAME, SUITE NUMBER)

 

 

 

 

 

 

 

 

(CITY)

 

(STATE)

(ZIP)

(COUNTY)

(BUSINESS TELEPHONE)

BUSINESS MAILING ADDRESS:

 

 

 

 

 

 

 

 

 

 

 

 

 

(IF OTHER THAN 10)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(INCLUDE BUSINESS NAME, P.O.BOX, STREET, CITY, STATE, ZIP CODE AND COUNTY)

 

 

 

 

 

 

FAX NUMBER:

 

 

 

 

 

 

EMAIL:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MANDATORY QUESTIONNAIRE:

13.

Does any insurer or general agent claim that you are indebted or had an agency contract canceled for indebtedness?

YES

 

If yes, attach a letter from the insurer/agent to whom you are indebted giving full details.

NO

14.

Have you ever been convicted of or are you currently charged with a felony?

YES

 

If yes, attach certified copies of ALL plea agreements and court orders.

NO

15.

Have you been convicted of or are you currently charged with the commission of any crime or pled nolo contendere in a criminal proceeding or

YES

 

have you received first offender treatment or had adjudication of guilt withheld in a criminal proceeding, other than a minor traffic offense?

NO

 

If yes, attach a supplement giving full details and attach certified copies of plea agreements and all court orders.

 

16.

Have you ever been refused or had suspended or revoked an insurance license in any state?

YES

 

If yes, attach supplement giving full details and attach certified copies of all orders.

NO

17.

Have you ever had any other administrative action instituted against you by the insurance regulatory authority of any state?

YES

 

If yes, attach supplement giving full details and attach certified copies of all orders.

NO

 

 

 

 

18.

Have you ever:

A. Had any license, permit, authorization, registration, or privilege denied, refused, revoked, suspended, limited, withdrawn,

YES

 

 

or restricted?

NO

 

 

 

 

 

 

B. Had any other disciplinary action taken against you?

YES

 

 

NO

 

 

 

 

 

 

 

 

 

C. Had the renewal of any license, permit, authorization, registration, or privilege refused by any authority pursuant to a

YES

 

 

disciplinary proceeding other than that of the Insurance Commissioner.

NO

 

 

 

 

 

 

D. Failed to notify the Insurance Commissioner in writing within sixty days of the occurrence of any event listed above.

YES

 

 

NO

 

 

 

If yes to any of the above, attach supplement giving full details and attach certified copies of all orders.

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

Page 1 of 2

www.oci.ga.gov

OFFICE OF COMMISSIONER OF INSURANCE

RESIDENT INSURANCE LICENSE APPLICATION

AGENTS LICENSING

GID-103-AL JAN2019

19.

Have you ever withdrawn an application for any business or professional license granted by any licensing authority?

YES

 

If yes, attach supplement indicating the type of license, reason for withdrawal and the licensing authority.

NO

20.

Do you or will you maintain an office as an insurance agent, adjuster, counselor, limited subagent or surplus lines broker in this state?

YES

NO

 

 

 

 

 

21.

Have you ever held an insurance license issued by this department?

YES

 

If yes, list license type, number and last year licensed. ___________________________________________

NO

 

 

 

22.

Have you held an insurance license of any type in any other state within the last 5 years?

YES

 

If yes, attach an original clearance letter from prior state dated within 90 days.

NO

 

 

 

23.

Have you completed and attached the notarized Citizenship Affidavit Form GID-276-EN to this application?

YES

 

If not, you must do so in order for this application to be processed. The form is available at www.oci.ga.gov.

NO

 

 

 

!!!Submit Application” WITH ALL” required documents !!! Check box to confirm that ALL required documents are attached.

APPLICANT’S ATTESTATION:

I HEREBY CERTIFY THAT ALL THE INFORMATION IN THIS ENTIRE APPLICATION, FORM GID-103, INCLUDING ANY DOCUMENTS ATTACHED HERETO, IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND BELIEF. I FURTHER CERTIFY THAT I HAVE ATTACHED ALL APPLICABLE SUPPLEMENTARY DOCUMENTS AND I UNDERSTAND THAT FAILURE TO DO SO WILL RESULT IN REGULATORY ACTION. I HEREBY GIVE MY PERMISSION FOR A CRIMINAL BACKGROUND INVESTIGATION.

SIGNATURE OF APPLICANT

DATE

NOTARY

Sworn to and Subscribed before Me this _______ day of _________________, ________.

 

SEAL

In the County of __________________________, State of _________________________.

( Seal )

&

 

 

 

 

 

SIGNATUREREQUIRED

________________________________________

___________________________

 

 

(Signature Of Notary Public)

(My Commission Expires)

 

 

 

 

 

SPONSOR’S CERTIFICATE:

REQUIRED IF APPLYING FOR A TEMPORARY LICENSE OR LIMITED SUBAGENT LICENSE ONLY

I HAVE READ THE QUESTIONS AND ANSWERS GIVEN BY THIS APPLICANT HEREIN, AND HAVE MADE A DILIGENT INQUIRY AND INVESTIGATION RELATIVE TO THIS APPLICANT’S CHARACTER, IDENTITY, RESIDENCE, EXPERIENCE AND INSTRUCTION. THE FINDINGS OF SAID INQUIRY AND INVESTIGATION ENABLE ME TO CERTIFY AS FOLLOWS: (1) SAID ANSWERS ARE TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF; (2) I AM SATISFIED THAT THE APPLICANT IS TRUSTWORTHY AND QUALIFIED TO ACT AS OUR TEMPORARY AGENT OR LIMITED SUBAGENT AND TO HOLD HIMSELF OR HERSELF IN GOOD FAITH TO GENERAL PUBLIC AS SUCH TEMPORARY AGENT OR LIMITED SUBAGENT; (3) WE DESIRE THAT THE APPLICANT BE LICENSED AS INDICATED TO REPRESENT US IN THE STATE OF GEORGIA.

 

Name of insurance company if applying for temporary license

 

 

 

 

 

 

or sponsoring agent if applying for limited subagent license

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Name and Title of company official for temporary license or

Name

 

 

 

 

 

name of sponsoring agent for limited subagent

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of company official for temporary license or

Signature

 

 

 

sponsoring agent for limited subagent license

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

EFFECTIVE 7-1-2012, ALL NEW LICENSES, EXCLUDING TEMPORARY LICENSES, WILL BE ISSUED ON A BIENNIAL BASIS.

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTIONS:

 

 

 

 

 

 

 

 

BOND

 

COUNSELOR, PUBLIC ADUSTER, SURPLUS LINES BROKER, or LIMITED GROUP HEALTH COUNSELOR applications must include the

 

 

appropriate BOND with this application.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITIZENSHIP AFFIDAVIT

 

Form GID-276-EN verifying lawful presence of all new and renewal applicants must be submitted with this application for processing.

 

 

 

 

 

 

 

 

All New Applicants, excluding active licensees and individuals that apply for reinstatement within 6 months of expiration date, shall

 

FINGERPRINTS

 

be required to submit electronic fingerprints for a criminal background check. The applicant shall bear the cost for electronic

 

 

 

fingerprinting. Fingerprinting information can be found on the department’s website.

 

VARIABLE PRODUCTS

 

A current U-4/WEB CRD status report showing NASD Series 6 or 7 approved registrations must be submitted with this application.

 

COUNSELOR LICENSE

 

Attach supplement showing evidence of 5 years experience as an agent, subagent or adjuster or in some other phase of the

 

 

insurance business or sufficient teaching experience or educational qualifications.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FEE SCHEDULE:

 

 

 

 

AGENT LICENSE

 

 

$115 ($100 LICENSE, $15 APPLICATION) THE AGENT LICENSE FEE IS

 

(FOR ONE CLASS/MAJOR LINE OF INSURANCE)

 

 

 

BASED ON CLASSES OF INSURANCE AND LICENSES REQUESTED)

 

 

 

 

 

 

 

 

 

 

TEMPORARY LICENSE

 

 

$ 75 ($50 LICENSE, $15 APPLICATION, $10 CERTIFICATE OF AUTHORITY)

 

 

 

 

 

 

 

 

 

LIMITED SUBAGENT LICENSE

 

 

$120 ($100 LICENSE, $15 APPLICATION, $5 SUBAGENT CERTIFICATE

 

 

 

 

 

OF AUTHORITY)

 

 

 

 

 

 

 

 

 

 

 

 

ADJUSTER, COUNSELOR & LIMITED GROUP HEALTH COUNSELOR LICENSES

 

$115 ($100 LICENSE, $15 APPLICATION)

 

SURPLUS LINES BROKER LICENSE

 

 

$615 ($600 LICENSE, $15 APPLICATION)

MAKE CHECKS OR MONEY ORDERS PAYABLE TO  PSI Services LLC / GEORGIA INSURANCE DEPT.

Regular Mailing Address With Payments:

PSI Services LLC,

P.O. Box 742983, Atlanta, GA 30348-2983

Overnight Mailing Address With Payments:

Bank of America, ATTN: PSI Services LLC Box 742983,

6000 Feldwood Road, Atlanta, GA 30349

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

Page 2 of 2

Form Characteristics

Fact Name Description
Form Code The form is designated as GID-103-AL.
Governing Body The form is under the jurisdiction of the Office of the Commissioner of Insurance in Georgia.
Application Types Types of applications include new licenses, temporary licenses, and reinstatements.
License Classes License classes covered include life, accident & sickness, property and casualty, among others.
Background Check Requirement Applicants are required to undergo a criminal background investigation.
Citizenship Affidavit Submission of a Citizenship Affidavit Form GID-276-EN is mandatory.
Fee Structure Licensing fees range from $75 to $615, depending on the type of license applied for.
Submission Requirements Applications must include all required documents and a confirmation check box.

Guidelines on Utilizing Gid 103 Al

Completing the Gid 103 Al form is essential for anyone applying for a resident insurance license in Georgia. Ensure that you provide all required information and documents accurately to avoid any delays in processing your application. Follow these steps to fill out the form properly.

  1. Download the Gid 103 Al form from the Office of Commissioner of Insurance website.
  2. Choose the appropriate license type from the options provided at the top of the form.
  3. Complete sections I and II with the required information, including the names and license numbers of sponsoring companies and agents.
  4. Fill in your personal information in the applicant's information section, including your full legal name, social security number, date of birth, sex, residence address, and mailing address.
  5. Input your business information, including business name, address, and contact numbers.
  6. Answer the mandatory questionnaire honestly, and attach any required supplemental documents when necessary.
  7. Confirm that you have completed and attached the notarized Citizenship Affidavit Form GID-276-EN.
  8. Read the applicant’s attestation carefully before signing and dating the application.
  9. Submit the completed application along with all required documents and payment.

Once you have submitted your application, expect some processing time. Be sure to keep copies of all documentation for your records. If any issues arise, you will be contacted for clarification or additional information.

What You Should Know About This Form

What is the GID 103 AL form?

The GID 103 AL form is the Resident Insurance License Application used in Georgia for individuals seeking to obtain an insurance license. This form is essential for various types of licenses, including agent, adjuster, and counselor licenses, and must be submitted to the Office of Commissioner of Insurance for processing.

Who needs to fill out this form?

Anyone looking to become a licensed insurance agent, adjuster, or counselor in the state of Georgia will need to complete the GID 103 AL form. This includes new applicants, individuals seeking a temporary license, or those applying for a limited subagent license. If you have previously held an insurance license in Georgia or another state, this form is also applicable.

What information is required on the form?

Essential personal information is necessary on the GID 103 AL form. This includes your full legal name, address, date of birth, Social Security number, and contact details. Additionally, you will need to provide details about your sponsoring insurance company, any prior license information, and answer mandatory questions regarding your criminal history or financial obligations.

Are there any fees associated with submitting the form?

Yes, there are several fees linked to the application process. The standard agent license fee is $115, which includes both the application and license costs. For a temporary license, the fee is $75. Make sure to prepare your payment as a check or money order made out to PSI Services LLC / Georgia Insurance Dept.

How can I submit the GID 103 AL form?

The completed application can be mailed to PSI Services LLC at the designated regular or overnight mailing addresses provided on the form. Ensure that you include all required documents and payment; otherwise, your application may be delayed or rejected.

What happens after I submit my application?

Once the application is submitted, it will undergo a review process. Be prepared for a potential criminal background check, which you will need to pay for separately. After the review, if everything is in order, you will receive your license if approved. It is advisable to keep an eye on your email or contact the office for updates on your application status.

Do I need to provide any supporting documents with my application?

Yes, along with the GID 103 AL form, you may need to attach various supplementary documents. This includes certified copies of plea agreements if you have any felony charges or any other documentation addressing your past licensing history. Also, if applying for a temporary or limited subagent license, a sponsor must sign the form confirming their support.

Where can I find more information about the licensing process?

For additional details about the licensing process, you can visit the Office of Commissioner of Insurance's website at www.oci.ga.gov. This site offers comprehensive resources including forms, fee schedules, and contact information should you have further questions.

Common mistakes

Filling out the GID 103 Al form is a crucial step for those pursuing a resident insurance license in Georgia. However, many applicants stumble on their submissions. Here are seven common mistakes to avoid.

One significant error occurs when applicants fail to double-check their full legal name. This includes ensuring the correct spelling of the first, middle, last names, and suffix. An error in this section can result in processing delays or even denial of the application. Always verify that your name matches the documentation you are providing.

Another frequent mistake involves the Social Security number. omitting this number, or mistakenly entering an incorrect one, can cause major complications. It is vital for background checks and identifying your application. Ensure that it’s accurately noted to avoid unnecessary complications.

Many applicants overlook the importance of submitting the required documentation. Each section of the form requests specific attachments, such as certified copies of court orders if there have been prior convictions. Failing to include these documents can result in delays or rejection. Be diligent in gathering all necessary materials ahead of time.

Some people misunderstand the necessity of the CITIZENSHIP AFFIDAVIT. This form must accompany the GID 103 Al application to confirm lawful presence in the U.S. Without it, your application cannot be processed. Review the requirements carefully to ensure compliance.

Not providing accurate addresses is another common pitfall. The form requires multiple addresses: residence, business, and mailing addresses. Incomplete or incorrect addresses can lead to confusion and miscommunication. Always confirm that each address is complete and up-to-date.

Another common error is neglecting to review the mandatory questionnaire carefully. Questions about previous convictions or license suspensions should be answered truthfully and completely. It’s essential to disclose any relevant information and attach the necessary supplements, as failure to do so may lead to serious consequences.

Lastly, many applicants forget to sign and date their application. Neglecting this critical step is a surefire way to delay processing. Before submitting, take a moment to ensure your application is signed, dated, and that you’ve checked the box confirming all required documents are included.

Avoiding these mistakes can help streamline the application process. A thoughtful, thorough review of the GID 103 Al form enhances your chances of success in obtaining your insurance license.

Documents used along the form

The GID 103 Al form serves as a crucial document in the process of obtaining a resident insurance license in Georgia. Several other forms and documents accompany it to ensure compliance with state regulations. Each has a specific purpose and is vital for a complete application package.

  • Citizenship Affidavit (Form GID-276-EN): This document verifies the lawful presence of the applicant. It must be submitted with the application to adhere to immigration laws.
  • Criminal Background Check Consent Form: This form allows for a criminal background investigation. It is essential for maintaining the integrity of the insurance field and ensuring that licensees meet character standards.
  • Fingering Processing Instructions: New applicants must follow guidelines for submitting electronic fingerprints. This process aids in conducting thorough background checks and is mandatory for most applicants.
  • Supplementary Documentation: Depending on answers provided in the application, certain supplements may be required. Examples include letters detailing indebtedness or certified copies of court orders for any offenses.
  • Fee Payment Form: This form outlines the fees associated with the application process. Applicants must submit the appropriate fees to ensure their application is processed without delay.

Collectively, these documents support the GID 103 Al form and help streamline the licensing process. Ensuring all paperwork is complete and accurate will facilitate a smoother path to obtaining an insurance license.

Similar forms

  • Resident Insurance License Application (Form GID-103-R): Similar to the GID 103 AL form, this document is used for applying for an insurance license, but it caters specifically to resident applicants looking to obtain a full-time insurance agent license.
  • Non-Resident Insurance License Application: This form is for applicants who already hold a license in another state and wish to operate in Georgia as a non-resident agent. Like the GID 103 AL, it requires background questions and sponsor verification.
  • Citizenship Affidavit (Form GID-276-EN): Required for immigration and compliance checks, this document ensures that all applicants, including those using GID 103 AL, are lawfully present in the U.S.
  • Temporary Insurance License Application: This application allows individuals to operate temporarily while waiting for a full license, mirroring the procedures and requirements outlined in the GID 103 AL form.
  • Limited Subagent Application: Also for applicants representing insurance companies in specific capacities, this document is akin to the GID 103 AL, as it covers limited roles within the insurance sector.
  • Insurance Agent License Renewal Application: This is for current license holders looking to renew their existing licenses. It shares certain mandatory questions and documentation requirements similar to those found in the GID 103 AL.
  • Adjuster License Application: This document provides a pathway for those looking to become licensed adjusters. It ensures compliance with similar mandatory disclosures, making it comparable to the GID 103 AL.
  • Public Adjuster License Application: Like the GID 103 AL, it allows agents to apply for a license specific to public adjusting and includes similar verification and documentation processes.
  • Surplus Lines Broker License Application: This form facilitates the licensing of surplus lines brokers and contains applications and questions closely aligned with the requirements of the GID 103 AL.
  • Background Check Consent Form: While specific to consent for criminal background checks, it shares an essential component of the application process with the GID 103 AL, which also requires background information.

Dos and Don'ts

When filling out the GID 103 Al form, it is crucial to follow specific guidelines to ensure a smooth application process. Here are seven things you should and shouldn’t do:

  • Do: Provide complete and accurate information in every section.
  • Do: Attach all required supplementary documents, such as court orders or certified copies.
  • Do: Double-check your application for typos or errors before submission.
  • Do: Confirm that you included the Citizenship Affidavit Form GID-276-EN if required.
  • Don’t: Leave any mandatory fields blank; this will delay processing.
  • Don’t: Attempt to submit an incomplete application; it may be returned or rejected.
  • Don’t: Ignore any instructions regarding the payment of fees or submission formats.

Adhering to these guidelines will help ensure that your application is processed efficiently and successfully.

Misconceptions

Here are five common misconceptions about the GID 103 AL form regarding resident insurance license applications:

  • Misconception 1: The GID 103 AL form is only for new applicants.
  • This form is actually for various situations. It covers new license applications, temporary licenses, renewals, and reinstatements. Anyone needing any of these actions must use this form.

  • Misconception 2: Completing the form correctly guarantees approval.
  • While filling out the form thoroughly is essential, approval isn't guaranteed. The application undergoes review, and any issues, such as prior legal problems, could affect the decision.

  • Misconception 3: There are no fees associated with submitting this form.
  • Submission does come with fees. License, application, and authority certificate fees vary depending on the type of license applied for. Checking the fee schedule is important.

  • Misconception 4: Only a personal criminal history affects the application.
  • Both personal and professional history matter. Past issues with other licenses, debts, or disciplinary actions in any state can impact the application. Applicants must disclose complete information.

  • Misconception 5: All required documents must be attached after the form is submitted.
  • All required documents must be attached when submitting the application. Failure to include them can lead to delays or rejection of the application.

Key takeaways

Filling out the GID 103 Al form is an important step for individuals seeking a resident insurance license in Georgia. Here are eight key takeaways to consider:

  • Accurate Information: Ensure all personal information, including your full legal name, social security number, and date of birth, is accurate. Errors may delay processing.
  • Required Documents: Attach all necessary documents as specified. Incomplete applications can result in regulatory issues.
  • Honesty is Crucial: Answer all questions truthfully, especially regarding past licenses, criminal history, or any pending actions. Failure to disclose can lead to denial of the application.
  • Choose the Right License Type: Identify the type of license you need—whether it's agent, limited subagent, or temporary license. Each has different requirements.
  • Fees Matter: Be prepared to pay the appropriate fees based on the license type you are applying for. Ensure payment details are correct.
  • Fingerprinting Requirement: New applicants must undergo electronic fingerprinting for a background check. This is mandatory and will incur costs.
  • Submit the Citizenship Affidavit: Attach the notarized Citizenship Affidavit Form GID-276-EN with your application to verify lawful presence.
  • Follow Up: After submission, monitor the status of your application. You may need to provide additional information or documents.