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Forms

Fingerprint card. Email your request to: Licinfo@oic.wa.gov.

Credit card authorization form (102 KB)

Applications

• Uniform application for individual insurance producer license (295 KB)
• Uniform application for business entity insurance license (348 KB)

Appointments and affiliations

• Uniform appointment/termination form (42 KB)
• Affiliation/termination form INS-18 (59 KB)

• Managing general agent notice of appointment (69 KB)

Education

• Continuing education course approval request (13 KB)
• Continuing education course evaluation form (25 KB)
• Continuing education procedures (20 KB)
• Continuing education provider application (31 KB)
• Continuing education sign-in (21 KB)

Insurers

Annual LTC compliance filing form (60 KB)

 

Specialty producers

• Sample language for specialty producer premium handling authority (14 KB)

Rental car

• Insurer certification for rental car agent - RCA 1 (18 KB)
• Rental car agency authorized endorsees - RCA 2 (27 KB)
• Rental car agent premium handling authority - RCA 3 (18 KB)

Bonds

• Public adjuster's bond - INS-21 (18 KB)
• Title insurance agent's fidelity bond - INS-08 (18 KB)
• Title insurance agent's surety bond - INS-09 (18 KB) (In favor of the people of Washington state.)

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