1033 Consent

Any applicant applying for licensure in this state must fully disclose all charges and convictions, regardless of whether or not adjudication was withheld and administrative action taken by any state or jurisdiction. Carefully review the background questions on the applications and your response to those questions. Failure by an applicant to FULLY disclose or provide true and complete response is grounds for denial, suspense or revocation of an insurance license.

Individuals who have felony convictions involving dishonesty or breach of trust are prohibited from work in any capacity for an insurance entity prior to complying with the requirements of 18 U.S.C. § 1033 AND 1034. Any person allowing an individual with a felony conviction involving dishonesty or breach of trust to work in any capacity in an insurance entity, prior to the director's consent being obtained, is in violation of federal and state law, subject to administrative action and federal and criminal sanctions.