This government document is issued by Insurance, Department for use in North Carolina
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https://www.google.com/url?client=internal-element-cse&cx=6e767a134937637dd&q=https://www.ncdoi.gov/documents/agent-services/resident-insurance-producer-fingerprint-instructions/open&sa=U&ved=2ahUKEwjt1uzArNKEAxVHGBAIHem_Czg4UBAWegQIBxAB&usg=AOvVaw3Mb_KndKB54YwmDK2l_KmP