Applicable Forms

Individual Applicants

• Application for Insurance License: Use the Fast Licensing Application Service is Here (FLASH) Online Application
• Request for Live Scan Service (Form LIC 442-39A*). 
• Business Entity Endorsement (Form LIC 411-8A)

*These form(s) are in PDF format. To view these forms, your browser must have Adobe Acrobat Reader on your computer. A free copy of the Adobe Acrobat Reader can be downloaded from our Free Document Readers webpage. 

Business Entity Applicants

• Business Entity Application for Insurance License (Form LIC 441-11)
• Business Entity Endorsement (Form LIC 411-8A)

Insurer Appointments

• Action Notice of Appointment (Form LIC 447-54A)

To obtain insurance licensing information, you may phone the Producer Licensing Bureau at (800) 967-9331.

To obtain insurance licensing forms by mail, send an e-mail request to: Producer Licensing Bureau.

All fees mailed to the Department must be addressed to:

Department of Insurance
P.O. Box 1139
Sacramento CA 95812-1139.

All filing fees submitted are not refundable, whether or not the application is acted upon or an examination taken.