Applicable Forms

License Information

Individual Applicants

Application for Insurance License: Use Sircon's Apply for a License online application.
Request for Live Scan Service (Form BCIA 8016 and License Applicant Instructions, Form LIC 442-39A*).

Business Entity Applicants

Application for Business Entity License: Use Sircon's Apply for a License online application.

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

*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.

Google™ Translation Disclaimer

This Google™ translation feature is provided for informational purposes only.

The Department of Insurance is unable to guarantee the accuracy of this translation and is therefore not liable for any inaccurate information resulting from the translation application tool.

The Department of Insurance is also unable to guarantee the same page layout for all the languages. Depending on the languages, the page layout may look strange from the original.

Please consult with a translator for accuracy if you are relying on the translation or are using this site for official business.

A copy of this disclaimer can also be found on our Disclaimer page.

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