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INDIVIDUALS
Bondsman
BUSINESS ENTITIES
CONT. EDU.

INDIVIDUALS

Forms below may be emailed to the Licensing Division. Forms that may also be completed online are noted below.

General

Address Change Form: May also be completed ONLINE.

License Cancellation Request Form

Name Change Form

Adjuster

Adjuster License/Registration Application

Adjuster License Renewal/Continuation

Appraiser

Auto Physical Damage Appraiser License/Registration Application

Auto Physical Damage Appraiser License Renewal/Continuation

Producer

Producer License/Registration Application
Producer License Renewal/Continuation
Appointment/Termination Form
Financial Interest Disclosure (Form 3600)

Public Adjuster

Public Adjuster License/Registration Application

Public Adjuster License Renewal/Continuation

Surplus Lines Broker

Surplus Lines Broker License/Registration Application

Surplus Lines Broker License Renewal/Continuation
Form 3535 - $10,000 Surety Bond

Bondsman

This area of the website is currently under maintenance. Bondsman forms can be found here.

BUSINESS ENTITIES

Forms below may be emailed to the Licensing Division. Forms that may also be completed online are noted below.

General

Address Change Form: May also be completed ONLINE.

Affiliation/Termination Form: May also be completed ONLINE.

License Cancellation Form

Name Change Form

Agency

Business Entity License/Registration Application

Business Entity License Renewal/Continuation

Financial Interest Disclosure (Form 3600)

Portable Electronics Vendor

Portable Electronics Insurance License Application

Notice of Appointment

Rental Car

Rental Car Limited Insurance License Application

Self-Service Storage Facilities

Self-Service Storage License Application (ONLINE only)

Self-Service Storage License Renewal

Appointment Form (ONLINE only)

CONT. EDU.

Forms below may be emailed to the Continuing Education Division.

Instructor

Application for Instructor Approval
Instructor Name Change Request Form
Instructor Address Change Request Form

Sponsor

Application for Sponsor Approval
Sponsor Name Change Request Form
Sponsor Address Change Form

Authorized Representative

Authorized Representative Change Request Form
Authorized Representative Name Change Request Form
Authorized Representative Address Change Request Form

Course & Proctor

Application for Course Approval
SCDOI Affidavit of Exam Proctor
Webinar Requirements

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