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O. Box 603 San Francisco CA 94101 telephone 415 703-4810. Detach Here ------------------------------------------------------------------------------------------------- This form is to be retained in the employee s file This is to acknowledge that I have received a copy of PLEASE PRINT NAME OF EMPLOYEE licensee or authorized representative of SIGNATURE OF EMPLOYEE LIC 9052 3/03 DATE. STATE OF CALIFORNIA HEALTH AND HUMAN SERVICES AGENCY CALIFORNIA DEPARTMENT OF SOCIAL SERVICES NOTICE EMPLOYEE...
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Who needs LIC 9052:
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LIC 9052 may be necessary in various situations, like government license applications, permit requests, financial transactions, or official requests for information.
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What is lic 9052?
LIC 9052 is a form used by insurance companies to report certain financial and operational information to regulatory authorities.
Who is required to file lic 9052?
Insurance companies that meet specific criteria set by the regulatory authority are required to file LIC 9052.
How to fill out lic 9052?
To fill out LIC 9052, gather the necessary financial and operational data, complete the form following the instructions provided, and ensure all information is accurate before submission.
What is the purpose of lic 9052?
The purpose of LIC 9052 is to provide regulatory agencies with essential information about an insurance company's financial status and compliance with regulations.
What information must be reported on lic 9052?
LIC 9052 must report information including financial statements, premium income, claims data, and other relevant operational details pertaining to the insurance company.
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