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Apply for an Individual Non-Resident License

Use the Apply for an Individual Non-Resident License service to enter information in an online non-resident license application form for an individual licensee and submit the application electronically to one or multiple states for processing.

If you are applying for a non-resident adjuster license, and you already hold a non-resident adjuster license with a "designated home state," please see Adjuster DHS Application for special instructions.

The process involves the following steps:

Select Applicant's Resident State

Identify the state in which the applicant holds a resident license, so that the system can determine eligible non-resident license types.

1. Required. From the Resident State dropdown menu, select the applicant's resident state. The page will refresh to show basic information data entry fields.

Enter Basic Information

Enter basic identifying information about the applicant and select the state(s) to which you wish to submit a non-resident license application.

1. Required. In the SSN field, enter the applicant's Social Security Number. Omit dashes.
2. Required. In the Resident License Number, enter the license number of the applicant's resident state license.
3. Required. In the Preparer field, click the Authorized Submitter radio button if you are applying for this license on behalf of an applicant. Or, click the Applicant radio button if you are applying for this license on your own behalf.
4. Required. In the States section, click to checkmark the checkboxes corresponding to one or multiple non-resident states to which you want to submit a license application. Or, click the Check All button to checkmark the checkboxes corresponding to all states.
5. If desired, to check the types of licenses available in any state, click a [StateName] link. A separate page will open displaying all license types in the selected state that are available through the service.
6. When you are ready to proceed, click the Continue button to proceed. The system will check the applicant's licensure and other information on the national Producer Database (PDB).

Select Licenses

The License Information section displays license types available in the selected non-resident state(s), grouped by state. Select the licenses in each state for which you want to apply.

1. In the License Information section, click to checkmark the License Type checkbox that corresponds to each type of license you want to apply for.
2. In the Previously licensed? field, click the Yes radio button if the applicant has been previously licensed in the state; click the No radio button if the applicant has never been licensed in the state.
3. From the Cost Center dropdown menu, select the accounting cost center cost center to which you want to assign the fees for the license application. Or, enter a cost center name in the field, if it is available.
4. If desired, click the Click here to view state requirements link to open a new browser window containing detailed information about applying to the state for the available license types.
5. Repeat the preceding steps for each state displaying in the License Information section.
6. Click the Continue button to proceed.

Select LOA

The Qualifications section displays the qualifications (license lines or LOA) available in the selected non-resident state(s) that are supported by the selected license type, grouped by state. Qualifications that are not reciprocal to the license lines on the applicant's resident state license display but are non-selectable. Select the qualifications in each state for which you want to apply.

1. Click to checkmark the Qualification Code checkbox that corresponds to each license line or LOA you want to apply for.
2. Repeat the preceding steps for each state displaying in the Qualifications section.
3. Click the Continue button to proceed.

Enter Applicant Information

The Individual Information section collects additional personal and professional information that the system needs in order to prepare the applicant's license application(s) for state processing. The system may already have collected some of this information from the national Producer Database (PDB), sparing some data entry, but you must enter data in all of the remaining required fields before you can continue the license application process.

1. Required. From the Gender dropdown menu, select either Male or Female.
2. Required. From the Citizen Country Code dropdown menu, select the nation or principality that the applicant is a legal citizen of.
3. May be required, if available. From the Affiliated With a Bank? dropdown menu, select Yes or No.
4. Required. In the Business Email Address field, enter the applicant's business email address.
5. Required. In the Applicant Email Address field, enter the applicant s personal email address. (It may be identical to the Business Email Address.)
6. If desired, in the Business Web Address field, enter the applicant's business's web address.
7. May be required if applying for a variable line of authority. In the FINRA CRD Identifier field, enter the applicant's Central Registration Depository (CRD) number.
8. In the Individual Alias Information section, if applicable, enter an unlimited number of the applicant's aliases or former business, personal, or alternate identities. Select the type of alias from the Type dropdown menu and enter alias information in the name fields.
9. Required. In the Individual Residence Address fields, enter the applicant's home address information.
10. Required. In the Individual Business Address fields, enter the applicant's business address information.
11. Required. In the Individual Mailing Address fields, enter the applicant's mailing address information.
12. Required. In the Residence Phone Number field, enter the applicant's home phone number.
13. Required. In the Business Phone Number field, enter the applicant's work phone number.
14. If desired, in the Business Fax Number field, enter the applicant's work fax number.
15. Click the Continue button to proceed.

Enter Employment History Information

In the Employment History section, enter the applicant's employment history or education background for the past five years.

Use the following guidelines:

• Begin with the most recent position.
• If the applicant still holds the most recent position, enter the current month and year in the Ending Date field for that position.
• Include full- and part-time work, self-employment, military service, unemployment, and full-time education.
• You are required to enter at least one employment history entry.
• Employment or education history must go back at least five years before the current month and year.

Use the following steps:

1. Required. Enter the month and year the applicant started the position in the Beginning Date field. Use the mm-yyyy date format. (e.g., for March 2015, enter "03-2015").
2. Required. Enter the month and year the applicant vacated the position in the Ending Date field. Use the mm-yyyy date format (e.g., for March 2015, enter "03-2015"). If the applicant is still employed in this position, enter the current month and year in the Ending Date field.
3. Required. Enter the name of the applicant's employer in the Employer Name field. If submitting education background, enter the name of the college or university.
4. Required. Enter the city location of the applicant's employer in the City field. If submitting education background, enter the city location of the college or university.
5. Required. Select from the State dropdown menu the state location of the applicant's employer. If submitting education background, enter the state location of the college or university.
6. Required if value of Country field is Canada. Select from the Province dropdown menu the Canadian province location of the applicant's employer. If submitting education background, enter the Canadian province location of the college or university.
7. Required. Select from the Country dropdown menu the country location of the applicant's employer. If submitting education background, enter the country location of the college or university.
8. Required. In the Position Description field, enter the applicant's job title with the employer, or enter "Student" if the employment history entry reflects education history.
9. Repeat the preceding steps in succeeding employment history fields as necessary.
10. If desired, click the Add More Employment History Information button to enable fields to enter information about an additional position.

Enter Agency Affiliation Information

In the Affiliation Information section, you may enter information about the applicant's affiliation or association with an agency or brokerage. If you are unsure of the affiliation information, leave this section blank.

1. Required only if entering affiliation information. In the Agency Name field, enter the name of the agency.
2. Required only if entering affiliation information. In the Agency EIN field, enter the agency's federal Employer Identification Number.
3. Required only if entering affiliation information. In the National Producer Number field, enter the agency's National Producer Number (NPN).
4. Repeat the preceding steps in succeeding agency affiliation fields, up to three, as necessary.

Enter Submitter Information

The Submitter Information section is required only if you selected the Authorized Submitter radio button in the Preparer field in the Basic Information section. Much of the information is obtained from information contained in the staff member's user account in AgencyEDGE. (For more information, see Edit My User Profile.) Enter all required fields.

1. Required. In the First Name field, enter the submitter's first name.
2. In the Middle Name field, enter the submitter's middle name.
3. Required. In the Last Name field, enter the submitter's last name.
4. In the Suffix field, enter the submitter's name suffix.
5. Required. In the Title field, enter the submitter's job position title.
6. Required. In the Firm Name field, enter the name of the submitter's company.
7. Required. In the Line One field, enter the first line of the submitter's company's address.
8. In the Line Two field, enter the second line of the submitter's company's address.
9. Required. In the City field, enter the city of the submitter's company's address.
10. Required. From the State dropdown menu, select the state of the submitter's company's address.
11. Required. In the Postal Code field, enter the postal or ZIP code of the submitter's company's address.
12. Required. In the Phone Number field, enter the submitter's company's telephone number, including area code.
13. In the Extension field, enter the submitter's telephone extension.
14. Required. In the Email Address field, enter the submitter's or your department's email address.
15. Click the Continue button to proceed.

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Answer Background Questions

The Background Questions section contains uniform and/or state-specific questions pertaining to the applicant's personal and professional background and ethical conduct. You are required to answer all of the background questions.

Use the following guidelines:

• It is in your best interest to answer all background questions honestly and to provide additional information to the state when necessary. In some cases, you will need to submit additional documentation to the state insurance department to support your answers. (Read each question carefully to determine if your answer will require you to send supporting documentation.)
• If your response to any question requires you to submit supporting documentation, you may elect later in the license application process to upload electronic files to support or explain your answer (court papers, etc.) directly to your license application. The attached documentation will be submitted to the state department of insurance together with your license application for review by the insurance department. (You also may mail or fax your supporting documentation to the insurance department separate to your license application; however your application will remain in pending status until the state receives the supporting documentation.)

Use the following steps:

1. Click to select either the Yes or No radio button to respond to each question. Depending on your response to a background question, a free text field may become enabled, allowing you enter an explanation or other related information.
2. The NAIC/NIPR Attachments Warehouse question is available only depending on your answer to a uniform background questions requiring you to submit documentation in support of your license application to certain states. (For more information, see Upload Documentation to the NIPR Document Warehouse.)

If you need to submit additional documentation to support answers to background questions, you may either submit the documentation as an electronic attachment to your license application or mail or fax the documentation to the state department of insurance.

Click to select the Yes radio button if you intend to upload or have already uploaded supporting documentation to the NAIC/NIPR Attachments Warehouse, or click to select the No radio button if you will send supporting documentation separately.

3. If you answered Yes to the NAIC/NIPR Attachments Warehouse question, and you have already uploaded documentation to the NAIC/NIPR Attachments Warehouse, you can associate your license application to the existing supporting documentation rather than upload new documentation.

If you wish to link your license application to previously filed documents, click to select the Yes radio button, or click to select the No radio button if you will be uploading new supporting documentation.

4. When you are finished, click the Continue button to proceed.

Attest to the Application

You must swear that the information you are submitting with the license application is complete, truthful, and accurate.

1. Read the attestation carefully.
2. Required. When you are finished, if you submit to the terms of the attestation, click to checkmark the I Agree checkbox.
3. Click the Continue button to proceed.

Acknowledge the State License Application Fee

For your information, the system may calculate the state fees for the license application(s) you are submitting.

1. Review the fee information.
2. Click the Continue button to proceed.

Submit the License Application

Review the summary details of the license application transaction in the License Application Summary section.

1. Review the basic applicant information at the top of the page.
2. If you need to return to the application and update information you entered earlier, click the Review License Application link.
3. In the Electronic Applications section, review the fee totals for the state to which you are applying, including the state license application fee and the fee for using this service to prepare and electronically submit your license application.
4. In the Fee Summary section, review the fee grand totals, including state fees, service fees, and credit card processing fees (if applicable).
5. Click the Click here to view additional state requirements link to open a new browser window containing detailed information about concluding the application process in the state to which you are applying.
6. When you are ready to submit the license application, click the Submit button.

Complete the Process

Review the confirmation and receipt information for your license application transaction and perform follow-up tasks on the License Application Confirmation page.

1. Review the confirmation message and basic applicant information at the top of the page.
2. If desired, click the Print link at the top of the page to open a printable view of the License Application Confirmation page.
3. If you need to send supporting documentation to the state department of insurance, choose one of the following:
   • Click the Attach Documents link at the top of the page to open a separate window with instructions on attaching electronic files to your license application and transmitting them at no charge to certain states. (For more information, see Attach Supporting Documents to Sircon States.)
   • If the Attach Documents link is not available, click the Click here to view additional state requirements link below the Fee Summary section to access the NAIC/NIPR Attachments Warehouse, where you may attach electronic files to your license application and transmit them for a fee to other states. (For more information, see Upload Documentation to the NIPR Document Warehouse.)
   • If you do not wish to transmit supporting documentation electronically, click the state name link displaying in the Dest. State field in the Electronic Applications section. A separate window will open with follow-up information for the selected state, including where to mail or fax supporting background question documentation, how to review the status of the license application, and what to do if there are delays or errors.

4. In the Electronic Applications section review the details of the electronic license application transactions per state. If desired, click the Snapshot button () or number link displaying in the Confirmation ID field. A separate window will open displaying a printable, HTML-format version of your completed license application for that state.
5. In the Fee Summary section, review the fee grand totals, including state fees, service fees, and credit card processing fees (if applicable).
6. Click the View Result Details button to open the License Application Result Details page to review additional information about the license application transaction. (For more information about the License Application Result Details page, see License Application/Renewal Status Inquiry.)
7. When you are finished, click the Done button. The License Application MenuTransactions List page will open.

To check the ongoing processing status of one or multiple submitted license applications, use the License Application/Renewal Status Inquiry.

The information required to process a license application differs from state to state. Therefore the fields and controls and the order in which they appear on the Apply for an Individual Non-Resident License page may vary, depending on the state to which you are submitting the application.

If you do not know an applicant's resident state license number, you may obtain it by using the Lookup Individual License Number/NPN or Individual PDB Report services.

You may apply only for a non-resident license type and qualifications (lines of authority) that are reciprocal to the license type and/or lines of authority of an applicant's resident license.

If any information displaying about the applicant or the applicant's licensure is incorrect, stop the license application process and contact the applicant's resident state department of insurance to request that the applicant's record is updated on the national Producer Database (PDB).

If you need a qualification that is not displaying, stop the license application process and contact the NAIC Help Desk at (816) 783-8500 or help@naic.org. Your resident state may not have submitted the correct lines of authority to the national Producer Database (PDB).

The system will send a confirmation email to the email address you enter in the Business Email Address field with an updated status on a license application and information on how to follow up on its status.

If you are using the NAIC/NIPR Attachments Warehouse to upload supporting background question documentation, you can view information on how to access the service in the Description field of the License Application Result Details page. (For more information, see License Application/Renewal Status Inquiry and Upload Documentation to the NIPR Document Warehouse.)

If a state to which you are applying requires fees in addition to regular state license fees, the Additional State Fee Information page will open before the License Application Summary page and display surcharge information. Enter a value in the Quantity field, and then click the Continue button.

If you need to change any information on your application(s) after you have submitted it, send the changes in writing to the appropriate state office(s). Do not attempt to submit changes electronically using this system. Submitting another application with updated information will be considered a new request and will result in an additional charge.

When entering mailing, business, or residence address information, do not enter a slash (such as in "c/o") or parenthesis in the Line One field. The Line One field may contain only ampersands, letters, digits, spaces, pounds, hyphens, commas, colons, apostrophes, or periods.

When processing most non-resident license applications, the system verifies eligibility for the license by checking an applicant’s resident state license information. If the system cannot verify that the applicant holds an active resident state license, the application is discontinued. However, offers electronic non-resident individual and firm license application services for certain license types and states where the applicant is not required to hold an active, resident state license. You may enter the new, alternate non-resident license application workflow in one of the following ways: 1) by clicking the I don’t have a resident license link at the beginning of the non-resident license application workflow, or 2) through the regular non-resident license application workflow after the resident state license verification fails to find an active, resident state license. will guide you through the selection of states and licenses available through this special service.

You can submit an electronic application for certain licenses exclusively through this system. When necessary you can attach supporting documents to the license application and submit the documents directly and securely to the state department of insurance. On the License Application Confirmation page or the License Application Status service, a license that requires a document attachment will offer the Attach Supporting Documentation button () in the Action column. Click the button to open the Attach Supporting Documents page. There, you can browse for the electronic document on your computer system, provide a description to give context for the reviewer, and then upload the document to the license application. Help links are available to answer frequently asked questions about the electronic document attachment service.

An agent-to-agency affiliation can be recorded together with an individual non-resident license application submitted electronically to certain states. Agency association information entered in the Affiliation Information section of a license application will be copied directly into the records of any application state that supports the capability. You need not use the Manage Affiliations service separately in that case.