(a) Application for a license as a mechanical breakdown insurance dealer shall be made to the commissioner upon forms prescribed and furnished by the commissioner. As a part of or in connection with any application, the applicant shall furnish information concerning his identity, personal history, experience, business record and other pertinent facts the commissioner may reasonably require.
(b) If the applicant is a firm, partnership or corporation, the application shall in addition to the requirements of subsection (a) of this section:
(i) Contain the names of all members and officers of the firm, partnership or corporation; and (ii) Designate who is to exercise the powers to be conferred by the license on the firm, partnership or corporation.
(c) The commissioner shall require each individual of a firm, partnership or corporation to furnish information to the extent as if applying for an individual license.
(d) Any person willfully misrepresenting any fact required to be disclosed in any application is subject to the penalties provided by W.S. 26-1-107.