North Dakota Century Code Title 13. Debtor and Creditor Relationship § 13-09.1-20. Authorized delegate reporting

a. Company legal name;

b. Taxpayer employer identification number;

c. Principal provider identifier;

d. Physical address;

e. Mailing address;

f. Any business conducted in other states;

g. Any fictitious or trade name;

h. Contact person name, phone number, and electronic mail;

i. Start date as licensee's authorized delegate;

j. End date acting as licensee's authorized delegate, if applicable;

k. Court orders pursuant to section 13-09.1-26; and

l. Any other information the commissioner reasonably requires with respect to the authorized delegate.