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Variable life/annuity - applying for a license

For individual producers who do not live in Washington

You can apply for a license using the OIC online licensing services or submit a paper application by following the instructions for printable forms below.

Apply online

OIC online licensing services

Apply using printable forms - application requirements

• Your fingerprint card. See fingerprinting requirements.

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

Note: There are additional instructions for completing the uniform application in WA.  Please be sure to indicate what capacity you will be operating under.

If you will be operating as...
an Agent	a Broker
What does this mean?	What does this mean?
You will need to indicate this on the, “Jurisdiction and Type of License Requested” page of the uniform application.	You will need to indicate this on the, “Jurisdiction and Type of License Requested” page of the uniform application.  You will need to make sure your bond is in place. You will need to furnish the required written compensation disclosure to the insured.
See additional form instructions	See additional form instructions

• Please remember to include your current securities license number (the CRD number). This is obtained through the Financial Industry Regulatory Authority (FINRA) or the WA Department of Financial Institutions (DFI).
  • Contact FINRA at http://www.finra.org/index.html
  • Contact DFI at http://dfi.wa.gov/sd/brokerdealer.html

• Uniform appointment form (42 KB)
  • You may submit the appointment with your application packet or
  • your carrier may submit electronically within 15 days from your first piece of business.
    
  Affiliation notice form (59 KB)
  • If you will be representing a business entity, you will need to submit this form with your application or
  • have your business entity submit it. 
    

Remember:  You cannot transact business for your business entity until the affiliation is received and confirmed by our office.

Fee Schedule

Please make checks payable to: Washington Insurance Commissioner. You may combine all fees on one check.

• License fee: $55
  
• Filing fee: $5
• Fingerprint processing fee: $45.25
• Affiliation fee: $20*
  
• Appointment fee: $20*

*Do not pay this fee to us if you’re not including the form with your other application materials or if it will be submitted electronically.

Form Instructions: Uniform application for individual insurance producer license
At the top of the, “Jurisdiction and Type of License Requested” page there is a key for abbreviations in the grid. Just below these abbreviations, there are categories for Jurisdiction, License Type, Major Lines of Authority and Limited Lines of Authority.
For Agent	For Broker
Find the WA grid line in the Jurisdiction column. In the, “License Type” column, on the WA grid line, place an X in the P (for producer) column.  You will also need to place an X in the A (for agent) column. In the, “Major Lines of Authority” or “Limited Lines of Authority” columns, select the lines of insurance you are planning on selling.  Place an X in each line you are requesting for your license.	Find the WA grid line in the Jurisdiction column. In the, “License Type” column, on the WA grid line, place an X in the P (for producer) column.  You will also need to place an X in the B (for broker) column. In the, “Major Lines of Authority” or “Limited Lines of Authority” columns, select the lines of        insurance you are planning on selling.  Place an X in each line you are requesting for your license.

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Questions?

Phone: 360-725-7144
Email: Licinfo@oic.wa.gov

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