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 |
|
|
Life-Only Agent |
Not Applicable |
|
|
Property Broker-Agent |
||
|
Casualty Broker-Agent |
||
|
Personal Lines - Broker-Agent |
||
|
Motor Club Agent |
Not Applicable |
|
|
Surplus Line Broker |
Not Applicable |
|
|
Credit Insurance |
Not Applicable |
|
|
Special Lines' Surplus Line Broker |
Not Applicable |
|
|
Life & Disability Insurance Analyst |
Not Applicable |
Not Applicable |
|
Cargo Shipper |
Not Applicable |
Applicants for an Administrator Certificate must complete the Business Entity Application for Administrator's 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. |
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.
