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License Forms and Electronic Filings

Instructions and Applications are provided in Word and PDF format. You can view and download any of the listed documents by selecting the WORD or PDF link to the right of the document name.
Name		Number		Link
ADDRESS:
Address Change Form		AID-LI-AC		WORD		PDF
On-line Address Change Form		National Insurance Producer Registry (NIPR)
ADJUSTER:
Application and Instructions		AID-LI-ADJ		WORD		PDF
Limited Lines Crop Adjuster Application and Instructions		AID-LI-CROP/ADJ		WORD		PDF
APPOINTMENTS:
NAIC Uniform Appointment/Termination Instructions				WORD		PDF
NAIC Uniform Agent Appointment/Termination Form		AID-LI-APT-TERM		WORD		PDF
On-line Agent/Agency (Electronic) Appointments		Leo Online Services
Agency Appointment/Amended Appointment Instructions				WORD		PDF
Agency Appointment		AID-LI-I48-AGENCY		WORD		PDF
Amend Agency Appointment		AID-LI-I48-A		WORD		PDF
Agency Appointment Termination Instructions				WORD		PDF
Agency Appointment Termination Form		AID-LI-I71		WORD		PDF
ASSUMED BUSINESS NAME:
Filing Form		AID-LI-ANF		WORD		PDF
BUSINESS ENTITY (AGENCY):
Resident Business Entity Instructions				WORD		PDF
Resident Business Entity Uniform License Application		AID-LI-UBE		WORD		PDF
Non-Resident Business Entity Instructions		National Insurance Producer Registry (NIPR)
Non-Resident Business Entity Uniform License (Paper) Application		National Insurance Producer Registry (NIPR)
Addition and Termination Instructions				WORD		PDF
Producer Addition		AID-LI-UBE-ADD		WORD		PDF
Producer Termination		AID-LI-UBE-TERM		WORD		PDF
LICENSE (ARF) REPLACEMENT FORMS:
Replacement License Renewal for Producers		AID-LI-ARF-RP		WORD		PDF
Replacement License Renewal for Business Entities		AID-LI-ARF-RBE		WORD		PDF
MANAGING GENERAL AGENT:
License Instructions				WORD		PDF
License Application		AID-LI-MGA40		WORD		PDF
Company Appointment		AID-LI-MGA41		WORD		PDF
Termination of Company Appointment		AID-LI-MGA42		WORD		PDF
Bond		AID-LI-MGA43		WORD		PDF
Contract		AID-LI-MGA45		WORD		PDF
PRODUCER (Agent, Broker, Consultant):
Resident Testing and License Instructions		Handbook Testing Calendar		WORD		PDF
Resident Limited Lines License Instructions				WORD		PDF
Resident License Application		AID-LI-RP		WORD		PDF
On-line Resident and Non-Resident License Renewal New Read About New Leo Online Services New		Leo Online Services
Non-Resident Uniform License Instructions		National Insurance Producer Registry (NIPR)
Non-Resident Uniform (Paper) License Application		National Insurance Producer Registry (NIPR)
On-line Non-Resident (Electronic) License Application		National Insurance Producer Registry (NIPR)
On-line Non-Resident (Electronic) License Renewal		National Insurance Producer Registry (NIPR)
RENTAL CAR:
Rental Car Company Application	AID-LI-CAR		WORD		PDF
SURPLUS LINES:
Broker/Producer Testing and License Instructions		Testing Calendar