Using the Individual Licensee Request Form - (INS-19)
| Type of request | Form to use | Fee? | Other instructions |
|---|---|---|---|
| Letter of Certification | Individual Licensee Request Form - (INS-19) (PDF 28Kb) | $5.00 per letter | Issued to current Washington residents who apply for a non-resident license in another state. |
| Letter of Clearance | Individual Licensee Request Form - (INS-19) (PDF 28Kb) | No fee | Issued to Washington residents who are moving or who have already moved to another state and apply for a new resident license. |
| Duplicate license | Individual Licensee Request Form - (INS-19) (PDF 28Kb) | $5.00 | If you want the Ofc of the Insurance Commissioner to issue a duplicate license. |
| Print duplicate license online | No fee | If you want to print a duplicate copy online. |
|
| Change of residence address only | Individual Licensee Request Form - (INS-19) (PDF 28Kb) | No fee1 | 1$5.00 fee if you want the Ofc of the Insurance Commissioner to issue an updated copy. |
| Change residence address online | No fee2 | 2 No fee when you change and print an updated copy online. | |
| Name change | Individual Licensee Request Form - (INS-19) (PDF 28Kb) | $5.00 | You also need to attach documentation such as a Marriage Certificate or Court order. |
| Individual Insurance License Application - (INS-14) (PDF 61Kb) |
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| Adding an assumed name (DBA) - sole proprietor only | Individual Licensee Request Form - (INS-19) (PDF 28Kb) | $5.00 | The DBA must be registered with the Department of Licensing. Call 360-664-1400 or visit www.dol.wa.gov for more information. |
| Individual Insurance License Application - (INS-14) (PDF 61Kb) |
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