Arkansas uses the National Insurance Producer Registry (NIPR) for all electronic filing.  Please visit their website for the following services:

Address Change Form      

Agency Affiliations & Terminations  

Appointments - Agency & Individual

  • NAIC Uniform Agent Appointment/Termination Form     
  • Add or Remove a Line of Authority from an Appointment  

Business Entity

  • Uniform License Application   
  • Appointment Termination Request   

Crop Adjuster  Limited Lines Application  

E-mail updates  

Health Exchange Agency Application & Instructions  

License Renewal      

  • Replacement license renewal for Producers   
  • Replacement license renewal for Business Entities   

Life Settlement

  • Broker - Individual  
  • Broker - Business Entity  
  • Producer Notice 

Motor Club

  • License Filing  

Portable Electronic Insurance

  • Application  (10 or greater, Limited for less than 10) 

Producer  (includes Adjuster, Consultant and Surplus Lines)

  • Application  
  • Add or Remove a Line of Authority from an Active License  
  • Request to Reinstate a License  

Regulatory Health Link (IPA Guide, Navigator, Certified Application Counselor, Exchange Producer)

  • License Application & Instructions  

Reinsurance Intermediary

  • Broker 
  • Manager 

Self-Service Storage

  • License and Instructions 

Surplus Lines Business Entity

  • Producer Application 
  • Add Producer to Agency  


  • Agent application  
  • Agency application  

Viatical (see Life Settlement above)