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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.
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.
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)
||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.
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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.