Insurance Code § 14024
ARTICLE 3. Regulation, Licensing, and Registration
An application shall be verified and shall include:
(a) The full name and business address of the applicant.
(b) The name under which applicant intends to do business.
(c) A statement as to the general nature of the business in which the applicant intends to engage.
(d) A statement as to the classification or classifications under which the applicant desires to be qualified.
(e) If the applicant is a person other than an individual, the full name and residence address of each of its partners, officers, and directors, and its manager.
(f) Two recent photographs of the applicant, of a type prescribed by the commissioner, and two classifiable sets of his or her fingerprints.
(g) A verified statement of his or her experience qualifications.
(h) Such other information, evidence, statements, or documents as may be required by the commissioner.