Example: A cancellation notice was incorrectly reported. The cancellation date was reported as February 2 instead of February 13. A recall of the February 2 cancellation notice is submitted followed by a cancellation notice having a cancel date of February 13.
Example: An initiation notice was incorrectly reported. The starting date was reported as February 2 instead of February 13. A recall of the February 2 initiation notice is submitted followed by an initiation notice having a starting date of February 13.
Example: An initiation notice was submitted with a policy number of "BINDER". A change notice is submitted with an active policy number.
CONTACT PERSON INFORMATION SHEET
LA. OFFICE OF MOTOR VEHICLES
COMPULSORY INSURANCE UNIT
P.O.BOX 64886
BATON ROUGE, LA 70896
Certain updated information is needed periodically by this agency in order for us to contact the correct person within your insurance company to provide the most updated information or to correct problem areas.
The contact information sheet is to be completed and returned to this department. The contact sheet must be submitted during the month of January each year and whenever there is a change in any of your companys contact personnel.
A contact information sheet must be submitted for each insurance company.
Please furnish the name of the representative for compliance with administrative reporting requirements, data processing, commercial lines, personal lines, fleet filings and other personnel responsible for filings or fee assessments.
This information will assist us in contacting your companys representative(s) in regard to specific compliance regulations:
NAIC# | NAME OF INSURANCE COMPANY |
ADMINISTRATIVE COMPLIANCE | DATA PROCESSING |
NAME: | NAME: |
ADDRESS: | ADDRESS: |
PHONE: () | PHONE: () |
FAX: () | FAX: () |
E-MAIL ADDRESS: | E-MAIL ADDRESS: |
AREA OF RESPONSIBILITY | AREA OF RESPONSIBILITY |
NAME: | NAME: |
ADDRESS: | ADDRESS: |
PHONE: () | PHONE: () |
FAX: () | FAX: () |
E-MAIL ADDRESS: | E-MAIL ADDRESS: |
La. Admin. Code tit. 55, § III-1754