Orthotics, also known as orthoses, are devices that are used to support and improve the function of a limb or body part. Orthotic devices can be used to improve posture, prevent or correct deformities, and to treat injuries. There are many different types of orthotic devices available, and each is designed to meet the specific needs of the patient. The type of orthotic device that is best for you will depend on your individual situation and condition. Talk to your doctor about what type of orthotic device may be right for you.
| Question | Answer |
|---|---|
| Form Name | Form Ocs Rl 13 R |
| Form Length | 1 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 15 sec |
| Other names | CSP617492006ane jo puerto rico renwal certificate of authority form |
APPLICATION FOR RENEWAL OF CERTIFICATE OF AUTHORITY AS
A REINSURER
Date _______________________
We present the following information in order to obtain the aforesaid renewal of our certificate of authority:
1.Name of reinsurer____________________________________________________________
2.Corporate Social Security No. ________________________________
3.Postal address_______________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
4.Home office address__________________________________________________________
___________________________________________________________________________
5.Phone number ___________________
6.____________________________________________________________
(Signature of President or Vice President)
_____________________________________________________________
(Name)
_____________________________________________________________
(Title)
NOTE: Please send this form in duplicate, including a check or money order for the corresponding amount, payable to the Secretary of the Treasury.