N.M. Admin. Code § 13.7.3.11
Current through Register Vol. 35, No. 24, December 23, 2024
NAME OF COMPANY: _______________________________
| A | B | C | D | E | F | G | H | |
| Function Code | Reason Code | Line Type | Company Disposition After Complaint Receipt | Date Received | Date Closed | Insurance Department Complaint | State of Origin | |
| Company Identification Number | ||||||||
| Agents Number Staff | ||||||||
| Adjusters Number | ||||||||
| Independent Adjuster | ||||||||
N.M. Admin. Code § 13.7.3.11