How do I get the application package notarized?

Complete the applicable forms, then book a commissioned online notary. Sign the documents with the notary present by video, and follow the Division’s instructions for submitting the package.

Do I need to notarize every page in the package?

No. The package has notary blocks on particular forms, including the biographical affidavit, consent of agent, producer agreement, and depository agreement. Check which forms apply to your filing.

Can I use an online notary for these forms?

The package includes notary blocks, but does not address online notarization. Recognition of an out-of-territory notarial act may apply; confirm with the receiving agency or the Recorder of Deeds if unsure.

Who submits the Certificate of Authority application?

The package is for an insurance company seeking admission to do business in the U.S. Virgin Islands. It lists documents and fees for submission to the Division of Banking, Insurance and Financial Regulation.

Office of the Lieutenant Governor, VI · St. Thomas

Insurance Company Certificate of Authority Application Package

This 25-page package gathers applications, affidavits, appointments, and supporting documents an insurance company submits to the U.S. Virgin Islands Division of Banking, Insurance and Financial Regulation to seek a Certificate of Authority.

Detailed form~25 min to notarize

licensed online notary
~15 min average
Notarized PDF emailed

What you’ll need

Government-issued photo ID
Webcam-enabled device (laptop or phone)
This form, ready to upload as a PDF

Form previewView full PDF →

What this form is

The package lists the documents and fees for an insurer’s initial Certificate of Authority application and includes forms for company officers, managers, agents, producers, and a depository agreement. It includes notarized statements, including a biographical affidavit and consent of agent for service of process. The Division reviews the application and supporting materials; the package says the initial Certificate of Authority fee is due upon approval before a license is issued.

Who needs it

An insurance company applying for initial authority to do business in the U.S. Virgin Islands, along with any affiant, agent, producer, or company representative completing a notarized form in the package.

Why it needs a notary

The package includes sworn jurats for the biographical affidavit, agent consent, and producer agreement, plus acknowledgment blocks in the appointment and depository forms; the named affiants or authorized signers appear before a notary.

How to get this notarized

1
Download the Package
Download the Certificate of Authority application package from the Office of the Lieutenant Governor.
2
Complete Applicable Forms
Fill out the forms that apply to the insurer and its officers, affiants, agents, producers, and depository arrangement.
3
Book an Online Notary
Arrange a session with a commissioned online notary for the forms that contain notary blocks.
4
Sign on Video
Appear before the notary by video and sign the applicable forms as directed.
5
Submit the Package
Submit the completed application and required supporting documents and fees to the Division of Banking, Insurance and Financial Regulation.

Preview the form

The blank PDF straight from Office of the Lieutenant Governor. Look it over, then upload your filled copy to start the notary session.

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You’ll need ID and a webcam.

A licensed online notary will join you on video, verify your government-issued ID, witness your signature, and apply their seal. You’ll receive the notarized PDF by email when the session ends.