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Legal Entity Request / Updates

Page Refreshed: October 25, 2026 8:59 AM CDT / CCT

This form is required to create a Legal Entity number for new customers, or to process company name changes or acquisitions.​

Legal Entity Request / Updates
Please check applicable box(es)

◈ Please note changes in comment box below

Preliminary Information
Phone Number
Fax Number
General Information

(provide documentation of DBA registration)

Person Submitting Request

The person submitting this form warrants and represents to Northern that the above referenced legal entity is duly organized, validly existing and in good standing under the laws of the jurisdiction of its incorporation or formation and such person has full power to execute and deliver this request to Northern on behalf of the legal entity.

Phone Number
No files attached.