Renewal Forms

Renewal Process

After you have completed all of the forms described below, you will need to fax a copy of each to ExamOne immediately and then mail the originals to us soon after.

For both ChoicePoint and USIS

1. Colorado and Georgia — these states require an annual renewal of the state forms.  The links to each are below.
2. California Requester Code — the state of California requires all entities that access their database to apply for a Requester Code that must be included on every database inquiry.  Once the code is issued, ExamOne will store the code and append each order with the code.  The state requires a bi-annual renewal of the code.  You will receive a renewal notification eight to twelve weeks prior to expiration of the existing code.  Simply click on the "California Requestor Code" link below to access the forms and instructions.

For ChoicePoint Only

1. New Hampshire - Certificate of Authority for Life Insurance — you will need to complete a certificate on your company's letterhead.  The original certificate on your letterhead must be mailed to ExamOne.  The specific format of the letter is available by clicking on the "New Hampshire Certificate" link below.  The letter must be renewed annually.