Washington State Office of the Insurance Commissioner

Licensing Forms

Individual Insurance License Application - INS-14 PDF (PDF 102Kb)
Business Entity Insurance License Application - INS-14A PDF (PDF 101Kb)
Appointment/Affiliation Notice - INS-18 PDF (PDF 13Kb)
Individual Licensee Request Form - INS-19
See Using the Individual Licensee Request Form site
PDF (PDF 28Kb)
Termination of Appointment/Affiliation - INS-24 PDF (PDF 63Kb)
Managing General Agent Notice of Appointment PDF (PDF 69Kb)
Insurance Broker's Bond - INS-17 PDF (PDF 18Kb)
Public Adjuster's Bond - INS-21 PDF (PDF 18Kb)
Surplus Line Broker's Bond - INS-26
(In favor of the State of Washington)
PDF (PDF 18Kb)
Surplus Line Broker's Bond - INS-64
(In favor of the people of the State of Washington)
PDF (PDF 18Kb)
Title Insurance Agent's Fidelity Bond - INS-08 PDF (PDF 18Kb)
Title Insurance Agent's Surety Bond - INS-09
(In favor of the people of the State of Washington)
PDF (PDF 18Kb)
Individual Insurance License Application - INS-14VSB
(Viatical Settlement Broker)
PDF (PDF 54Kb)
Firm or Corporation Insurance License Application - INS-14AVS
(Viatical Settlement Broker)
PDF (PDF 91Kb)
VSB Appointment/Affiliation Notice - INS-18VSB PDF (PDF 22Kb)
Specialty Producer Insurance License Application PDF (PDF 42Kb)
Sample Language for Specialty Producer Premium Handling Authority PDF (PDF 14Kb)
Rental Car Agent Insurance License Application PDF (PDF 41Kb)
Insurer Certification for Rental Car Agent - RCA 1 PDF (PDF 18Kb)
Rental Car Agency Authorized Endorsees - RCA 2 PDF (PDF 27Kb)
Rental Car Agent Premium Handling Authority - RCA 3 PDF (PDF 18Kb)
Credit Card Authorization form PDF (PDF 15Kb)
Pre-Licensing Provider List PDF (PDF 78Kb)
Candidate Guide - On Pearson VUE website.
Fingerprint Card FD-258 - E-mail LicInfo@oic.wa.gov to request card(s).
Continuing Education Procedures PDF (PDF 24Kb)
Word (DOC 86Kb)
Continuing Education Course Approval Request PDF (PDF 16Kb)
Word (DOC 34Kb)
Continuing Education Information PDF (PDF 24Kb)
Word (DOC 85Kb)
Continuing Education Provider Application PDF (PDF 31Kb)
Word (DOC 38Kb)
Continuing Education Roster PDF (PDF 19Kb)
Word (DOC 50Kb)
Continuing Education Sign-in PDF (PDF 21Kb)
Word (DOC 40Kb)

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