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Continuing Education for Insurance Agents
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Applications
* Producers
o Apply for a License Online
o Renew your License Online
o Indiana Service Request Form*
o Instructions for Obtaining an Indiana Resident License When
Moving From Another State
o Resident Surplus Lines Producers
o Non-Resident Surplus Lines Producers
o Resident Surplus Lines Agencies
o Non-Resident Surplus Lines Agencies
o Viatical Settlement Broker Declaration *
* Surplus Lines Agent/Broker
The attached document needs to replace the document that is now
on the website. The name of the link, Instructions and
Frequently Asked Questions, will stay the same.
o Instructions and Frequently Asked Questions *
o Individual Application * (initial/renewal) (Surplus Lines
Only)
+ Affidavit for Monthly and Semi-Annual Reports
o Business Entity Application * (initial/renewal) (Surplus Lines
Only)
+ Affidavit for Monthly and Semi-Annual Reports
o Tax Guarantee Bond*
o Monthly Report Affidavit *
o Monthly Report (Excel Spreadsheet - Should be printed in
landscape format)
o Semi-Annual Tax Report*
o Surplus Lines Statute
* Procedure to apply for Waiver Under 18 U.S.C. 1033 Federal
Violent Crime Control and Law Enforcement Act of 1994*
Education
* Approved Indiana Pre-Licensing Providers Open to the Public
* Approved Pre-Licensing Providers Test Pass Ratio
* Continuing Education Providers Information
* Agent Continuing Education and Renewal Information
* Instructions for a Waiver for Pre-licensing Education
* Pre-licensing applications:
o Application for Pre-Licensing Instructor Approval *
o Pre-Licensing Program Approval Application *
o Application for Program Director Approval *
Examinations
* Examination Fact Sheet
Agent Appointment Information
* Effective January 1, 2002, insurers are no longer required to
report to the Department the names of all producers with whom
the insurer has contracted for representation. Insurers should
maintain this information internally but are not required to
file it with the Department.
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