Filing of Corporate Amendments and
Information Updates

Surplus Lines Insurer

Designation of Persons to Contact (for New Staff, New Address, New Phone, New E-mail Address)

Form 08-280 or UCAA Form 14 should be submitted to change the designated company person to contact for the areas listed on the form. The Form should be sent to:

Company Amendments
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Name Change

To submit a change of name, a letter giving the new information should be sent to the following address:

Company Amendments
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Designation of Person to Receive Service of Process

One of the following Forms, UCAA Form 12 or Form 08-253 and Form 08-254, should be submitted to change the designated company person to whom legal process documents accepted by the director are to be forwarded. The Form should be sent to:

Company Amendments
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Other Amendments (for Changes to Other Information)

To submit other changes in company information, a letter giving the new information should be sent to the following address:

Company Amendments
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Surrender of Surplus Lines Listing

To submit a request to voluntarily surrender the surplus lines listing, send the written request on company letterhead and signed by a company officer to:

Financial Examination Section
Alaska Division of Insurance
550 W. 7th Avenue, Suite 1560
Anchorage, AK 99501-3567