FORM: NAF-2018
ALABAMA DEPARTMENT OF INSURANCE
NAME APPROVAL FORM
(Use for Insurance Producer Business Entities ONLY)
Name requested for approval: _______________________________
FEIN: _____________________
Address: _____________________ Phone: __________________
_____________________ Fax: ___________________
_____________________
Email address: ____________________________________
Contact Name: ___________________________________
Date of Request: _________________
Please fax this form back to ALDOI at (334)-240-3282
Producerlicensing@insurance.alabama.gov