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General Questions and Inquiries Form

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This form is to be used for general questions or inquiries only. If your inquiry is time-sensitive and you need immediate assistance, please contact the Consumer Hotline at 800-927-4357. If you want to file a complaint, please complete the Request for Assistance form. If you have already filed a Request for Assistance, please contact the compliance officer assigned to your case.

If you are an agent or broker inquiring about your licensing information, please complete the Licensing Information form.

Please complete the following information:

*First Name

*Last Name

*I am a(n)

*Mailing Address

Suite/Apt#

*City

*State

*Zip Code

*Daytime Phone Number

*Email Address

*Type of Insurance Involved

*Briefly describe your question or comment

We recommend that you add @insurance.ca.gov to your approved list of senders in any mail filtering software you use or which is employed by your e-mail provider. This will ensure delivery to your inbox is not blocked or diverted to bulk mail or spam mail.