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Purchasing Groups Notification

This checklist contains items that must be submitted in order to complete the notice and registration requirements for a Purchasing Group intending to do business in New York.

* These forms are on the following pages. The completed forms and items on this checklist should be mailed to:

Marina Lutchman
Principal Insurance Examiner
New York State Department of Financial Services
Property Bureau
One State Street, 6th Floor
New York, NY 10004
212-480-5459
Email:

The purchasing group should not conduct or transact business in this state until it has been notified that its registration is complete.

Part A - Purchasing Group Notice and Registration
(PDF Format: "file save" feature requires Acrobat Reader 7.0 or above)

Part B - Appointment of Attorney to Accept Service and Designation
(PDF Format: "file save" feature requires Acrobat Reader 7.0 or above)

Department of Financial Services

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