Fillable De Ins Illinois Template in PDF
Contents
The De Ins Illinois form plays a crucial role in the licensure process for various professions, including private detectives, private security personnel, and locksmiths. This form serves as a supporting document that must be completed and submitted alongside the application for licensure or renewal. It requires specific information from the applicant, such as their name, date of birth, and social security number, ensuring that the application is properly processed. Additionally, the applicant must provide details about their insurance coverage, which is essential for meeting state requirements. The form mandates that the insurance policy be in the name of the individual license holder and include comprehensive commercial general liability coverage, with a minimum of $1,000,000 in liability insurance. This coverage should protect against bodily injury, property damage, and personal injury, and must also extend to any claims arising from the use of firearms if applicable. The insurance agent must also complete a section of the form, verifying that the policy meets all necessary requirements. By ensuring that all information is accurate and complete, applicants can avoid delays in the processing of their licensure applications.
Things to Know About This Form
What is the purpose of the De Ins Illinois form?
The De Ins Illinois form is a supporting document required for individuals seeking licensure under the Illinois Compiled Statutes. It ensures that applicants have the necessary insurance coverage to operate legally in their profession. Completing this form is crucial for the processing of your application or renewal.
Who needs to complete this form?
Both new applicants and those renewing their licenses must complete the De Ins Illinois form. The applicant section must be filled out by the individual seeking licensure, and then an authorized insurance agent needs to complete the remaining sections. This ensures that all necessary information is accurately provided.
What information do I need to provide on the form?
Applicants must provide personal details, including their name, date of birth, social security number, and address. Additionally, new applicants need to include their profession name and code. Renewal applicants must list their existing license numbers. The insurance agent will also fill in details about the insurance policy, such as the insurance company name, policy number, and coverage dates.
What type of insurance is required?
Applicants must have comprehensive commercial general liability insurance with a minimum coverage of $1,000,000. This insurance must cover bodily injury, property damage, and personal injury. If the licensee uses a firearm while working, the policy must extend coverage to claims related to the use of firearms in the course of employment.
What happens if I don't complete this form?
If you fail to complete the De Ins Illinois form, your application for licensure or renewal may not be processed. It is essential to provide all required information to avoid delays or potential denial of your application.
How do I submit the completed form?
The completed De Ins Illinois form must be submitted along with your application for licensure or renewal. Ensure that both sections of the form are filled out correctly before submission to avoid any issues with processing your application.
Key takeaways
When filling out and using the De Ins Illinois form, it’s essential to follow specific guidelines to ensure your application is processed smoothly. Here are key takeaways to keep in mind:
- Voluntary Disclosure: Providing the requested information is voluntary, but failing to complete the form may delay or prevent processing.
- Applicant Responsibilities: The applicant must complete their section before submitting it to their authorized insurance agent for the remainder of the form.
- Submission Requirement: The completed De Ins form must accompany your application for licensure or renewal.
- Insurance Policy Name: The insurance must be in the name of the individual license holder, not a business or organization.
- Minimum Coverage: Ensure that the comprehensive commercial general liability insurance includes at least $1,000,000 in coverage for bodily injury, property damage, and personal injury.
- Firearm Coverage: If you carry a firearm while on duty, your insurance must cover claims related to its use during employment.
- Agent Responsibilities: The insurance agent must complete their section and ensure that the policy meets all state requirements.
- Notice of Termination: If the insurance policy is canceled before its expiration, the insurer must notify the Department of Financial and Professional Regulation 30 days prior to cancellation.
- Accuracy is Key: Both the applicant and the insurance agent must declare the information is true and complete to avoid penalties.
By adhering to these points, you can help ensure that your De Ins Illinois form is filled out correctly and that your application for licensure is processed without unnecessary delays.
Common mistakes
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Not using the exact name of the insured as it appears on the application. This can lead to processing delays.
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Forgetting to include the date of birth. This information is crucial for identification purposes.
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Omitting the social security number. This number is often required for verification and tracking.
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Failing to provide a complete address. Ensure that the street, city, state, and zip code are all included.
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New applicants may forget to record their profession name and code. This is essential for the application process.
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Not including the maiden or given surname, which can lead to confusion in identity verification.
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Renewal applicants sometimes neglect to list their individual license numbers. This information is necessary for renewal.
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Providing an incorrect telephone number. Ensure that the area code and the full number are accurate for contact purposes.
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Leaving out the insurance company details. This includes the name, address, and policy number, which are critical for processing.
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Not signing and dating the form. This final step is essential to validate the application and confirm the information provided is accurate.
How to Fill Out De Ins Illinois
Completing the De Ins Illinois form is an important step for those seeking licensure in certain professions. This form requires specific information from both the applicant and their authorized insurance agent. Follow the steps outlined below to ensure that the form is filled out correctly and submitted with your application for licensure or renewal.
- Begin by filling out the applicant section. Enter your name as it appears on your application.
- Provide your date of birth in the format of Month/Day/Year.
- Enter your Social Security Number, ensuring it is accurate and complete.
- Fill in your complete address, including street, city, state, and ZIP code.
- If you are a new applicant, refer to the reference sheet for your profession name and three-digit profession code. Record this information accurately.
- Include your maiden name or given surname if applicable.
- For renewal applicants or those verifying current insurance, list each individual license number you hold under the relevant acts.
- Provide a daytime telephone number where you can be reached, including the area code.
- Sign and date the form, confirming that the information is true and correct to the best of your knowledge.
- Have your authorized insurance agent complete the insurance company section of the form. This includes their name, agency name, and home address.
- The agent must also fill in the insured's policy number, title or type of policy, and their business telephone number.
- Record the effective and expiration dates of the policy in the specified format.
- Finally, the agent must sign and date the form, confirming their authority and the accuracy of the information provided.
Once completed, ensure that the form is submitted along with your application for licensure or renewal to avoid any delays in processing.
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