Licensing Applications/Forms

Application(s) should be mailed to the address shown on the application(s). Failure to do so will result in a delay in processing.

Adjuster

• Residents MUST apply online. Click Here.
• Non-Resident Licensing Process - Click Here
• Request for Address Change - Form AL-A
• Registration for Emergency Adjusters - (Form AL-EAD1)
  
  • Attachment to Form AL-EAD1 - (Form AL-EAD2)

Business Entity

• Online Resident Business Entity Application
• Online Non-Resident Business Entity Application
• Change of Designated Producer - Form AL-DP-1
• Business Entity Renewal (ONLY if you are not allowed to renew online)

Continuing Education Providers

• Apply Online. Click Here.

Managing General Agent

• Managing General Agent Appointment - Form AL-MGA-1
• Managing General Agent's Contract - Form AL-MGA-2
• Managing General Agent (MGA) Termination - Form AL-MGA-3
• Managing General Agent (MGA) Certification - Form AL-MGA-4

Miscellaneous Forms

• Request for Name Change - Form AL-B
• Request for Letter of Clearance - Form AL-E
• Request to Voluntarily Surrender or Cancel License - Form AL-F
• Temporary Disclosure Form (Effective 3/1/2012)

Prelicensing

• Prelicensing Provider Application

Producer

• Online Individual Non-Resident Application
• Online Individual Resident Application

Reinsurance Intermediary

• Reinsurance Intermediary License Application - Form AL-RI-1

Surplus Line Broker

• Apply Online. Click Here.
• Surplus Line Broker Bond - Form AL-SLB-13

Bond mailed to:
Alabama Department of Insurance
PO Box 303351
Montgomery, AL 36130-3351

Title Agents/Agencies

• Title Insurance Act