Instructions For Filing An Application For Certificate Of Authority

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Instructions for Filing an Application for Certificate of Authority
Check for availability of the corporate name in West Virginia. Preliminary information is available by
phone at 304-558-8000. To reserve your name, file an application for name reservation with a $15 fee. If
approved, the name will be held for 120 days. If an insurance company, list your NAIC number, if you
have one. Insurance companies are subject to and must adhere to the naming provisions of WV Code §33-
1-12.
Obtain a certificate of good standing or certificate of existence from your home state of incorporation dated
during the current tax year.
Pursuant to West Virginia Code §33-3-3 the Secretary of State shall not issue a certificate of incorporation
to any insurance company until the West Virginia Insurance Commissioner has examined the charter of the
insurance company and approved same in writing. If the application is for a currently licensed insurance
company, please submit a copy of the Certificate of Authority issued by the West Virginia Insurance
Commissioner for your current tax year. If the application is from an insurance company with a pending
license review before the West Virginia Insurance Commissioner, please submit a copy of the written
approval of the charter from the Office of the Insurance Commissioner. Submitting a copy of the
Certificate of Authority issued by the West Virginia Insurance Commissioner or copy of the written
approval of the charter, whichever is applicable, at the time of filing will avoid denial of the application by
the Secretary of State.
Complete one copy of the application according to the instructions below. If you would like a filed copy
returned to you then submit two original applications. Incomplete applications will be returned.
Mail or deliver to the Secretary of State the following as a packet:
Certificate of Existence/Good Standing from the State of Incorporation
Original application(s) for certificate of authority, signed by an officer of the corporation
A resolution of your board of directors adopting DBA if your home state name isn’t available in
WV
Insurance companies include a copy of the Certificate of Authority issued by the WV Insurance
Commissioner for your current tax year or a copy of the written approval of the charter from the
Offices of the West Virginia Insurance Commissioner.
Completing the Application
Section 1. a. The name entered here must match the name on your good standing certificate.
b. Even if your corporation is not perpetual in your home state, remember that your
responsibilities for tax reporting in West Virginia will not end until you file a certificate of
withdrawal.
c. If an insurance Company, list your NAIC number, if your have one.
Section 2. a. The principal office address whether it is in WV or out-of-state.
b. A mailing address, if different, from principal office address.

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