Applications

• Producers
  • Indiana Service Request Form*
  • Instructions for Obtaining Indiana Insurance Agent License*
  • Producer License Application
  • Instructions for Obtaining an Indiana Resident License When Moving From Another State
  • Business Entity/Corporation Application

• Surplus Lines Agent/Broker
  • Instructions and Frequently Asked Questions
  • Individual Application * (initial/renewal) (Surplus Lines Only)
    • Affidavit for Monthly and Semi-Annual Reports
  • Business Entity Application * (initial/renewal) (Surplus Lines Only)
    • Affidavit for Monthly and Semi-Annual Reports
  • Tax Guarantee Bond*
  • Affidavit for Surplus Lines Risk*
  • Monthly Report (Excel Spreadsheet - Should be printed in landscape format)
  • Semi-Annual Tax Report*
  • Surplus Lines Statute
    
     
• Procedure to apply for Waiver Under 18 U.S.C. 1033 Federal Violent Crime Control and Law Enforcement Act of 1994*

Education

• Approved Indiana Pre-Licensing Providers Open to the Public
• Approved Pre-Licensing Providers Test Pass Ratio
• Continuing Education Providers Information
• Agent Continuing Education and Renewal Information
• Instructions for a Waiver for Pre-licensing Education
• Pre-licensing applications:
  • Application for Pre-Licensing Instructor Approval *
  • Pre-Licensing Program Approval Application *
  • Application for Program Director Approval *

Examinations

• Examination Fact Sheet