separator
Skip to Contentseparator HomeseparatorCheck License StatussepartorContact UssepartorRequest for Assistance
Welcome to the California Department of Insurance
Site tools
Decrease font size Increase font size Site map Help Print-friendly version
AGENTS & BROKERS: Business Entity Licensing Requirements for Resident Applicants

Licensing Requirements for Resident Applicants

The documents to be submitted with the business entity application Business Entity application form LIC 441-11 will vary depending on the type of license. The following chart lists the documents that are to be submitted by the applicant with the Form LIC 441-11 to the Producer Licensing Bureau. Please select the highlighted form numbers to retrieve the needed forms.

License Type

Bond Form Number

Appointment Form Number

Accident and Health Agent

Not Applicable

LIC 447-54A

Life-Only Agent

Not Applicable

LIC 447-54A

Property Broker-Agent

LIC 417-5

LIC 447-54A

Casualty Broker-Agent

LIC 417-5

LIC 447-54A

Personal Lines - Broker-Agent

LIC 417-5

LIC 447-54A

Motor Club Agent

Not Applicable

LIC 447-54A

Surplus Line Broker

LIC 447-31

Not Applicable

Credit Insurance

Not Applicable

LIC CI20

Special Lines' Surplus Line Broker

LIC 447-32

Not Applicable

Life & Disability Insurance Analyst

Not Applicable

Not Applicable

Cargo Shipper

LIC 447-70

Not Applicable

Applicants for an Administrator Certificate must complete the Application for Administrator Certificate Form LIC 441-12 instead of Form LIC 441-11.

The following documents may be required.

  • Power of Attorney must be submitted when filing a bond.  The Power of Attorney is an authorization from the surety company for an individual to    assume responsibility to sign and deliver bonds.  A Jurat must also be submitted with the Power of Attorney. The Jurat states, by a Notary Public, that the bond was executed before them in the State of California.  Both the Power of Attorney and Jurat must be the original documents signed by a representative of the organization.
  • Fingerprint Impressions are required for unlicensed applicants. 

Additional Requirements

Description

Requirement

Bond

Required for: Surplus Line ($50,000); Special Lines ($10,000); Cargo Shippers ($10,000)

When acting in the capacity of a Broker, Personal Lines ($10,000); Property-Broker Agent  ($10,000); Casualty Broker-Agent ($10,000)

Endorsee Minimum of one California resident endorsee for Life-Only, Accident and Health, Property Broker-Agent, Casualty Broker-Agent, Personal Lines, Motor Club, Surplus Lines, Credit Insurance, Special Lines, Life and Disability Insurance Analyst, and Cargo Shippers.


Back to Menu

If you have any questions about this form or the license information you retrieved, please see the most Frequently Asked Questions. If you need further assistance, please call our Business Entity Licensing Inquiry line at (916) 492-3069. You may also send an e-mail to the Producer Licensing Bureau. Please be sure to include your name, telephone number, license number and e-mail address in all correspondence with the CDI.

separator