CONTACT PERSONS FOR ___________________________________
Government of the United States Virgin Islands Office of the Commissioner of Insurance Division of Banking, Insurance and Financial Regulation #5049 Kongens Gade, Charlotte Amalie, St. Thomas, V.I. 00802 TEL-340-774-7166 FAX 340-774-5590 CONTACT PERSON(S) FOR ________________________________________ (Please indicate company’s name) 1. Company’s President: __________________________________________ Mailing Address: ______________________________________________ ______________________________________________ Telephone No._______________________ Fax No.___________________ E-Mail_____________________________ 2. Contact Person – Licensure and related filings Name/Title: _____________________________________________________ Mailing Address: _________________________________________________ _________________________________________________ Telephone No.____________________Fax No._________________________ E-Mail__________________________ 3. …
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Government of the United States Virgin Islands Office of the Commissioner of Insurance Division of Banking, Insurance and Financial Regulation #5049 Kongens Gade, Charlotte Amalie, St. Thomas, V.I. 00802 TEL-340-774-7166 FAX 340-774-5590 CONTACT PERSON(S) FOR ________________________________________ (Please indicate company’s name) 1. Company’s President: __________________________________________ Mailing Address: ______________________________________________ ______________________________________________ Telephone No._______________________ Fax No.___________________ E-Mail_____________________________ 2. Contact Person – Licensure and related filings Name/Title: _____________________________________________________ Mailing Address: _________________________________________________ _________________________________________________ Telephone No.____________________Fax No._________________________ E-Mail__________________________ 3. Contact Person – Consumer Complaints Name/Title: _____________________________________________________ Mailing Address: _________________________________________________ _________________________________________________ Telephone No.____________________Fax No._________________________ E-Mail__________________________ 4. Contact Person – Company’s Statutory Deposit Name/Title: _____________________________________________________ Mailing Address: _________________________________________________ _________________________________________________ Telephone No.____________________Fax No._________________________ E-Mail__________________________