NAIC UNIFORM APPLICATIONS
2013 NAIC Uniform Application Revision(s)
The Producer Licensing (EX) Working Group has completed the BIENNUAL REVIEW of NAIC Uniform Applications for Producer, Adjuster and Appointment. The Producer and Adjuster Applications will include the Individual and Business Entity (initial and renewal). The revisions have been adopted by the NAIC Full Membership. The 2013 Revision will be implemented NIPR in March of 2014. The next review of applications will be 2015.

2013 - 2015 NAIC Uniform Applications

Individual Producer App
2013-2015 Clean Version
PDF | WORD
Individual Producer Renewal App
2013-2015 Clean Version
PDF | WORD
BE Producer App
2013-2015 Clean Version
PDF | WORD
BE Producer Renewal App
2013-2015 Clean Version
PDF | WORD
Individual Adjuster App
2013-2015 Clean Version
PDF | WORD
Individual Adjuster Renewal App
2013-2015 Clean Version
PDF | WORD
BE Adjuster App
2013-2015 Clean Version
PDF | WORD
BE Adjuster Renewal App
2013-2015 Clean Version
PDF | WORD
 
2011-2013 NAIC UNIFORM APPLICATIONS
Individual Producer App
2011-2013
PDF | WORD
Individual Producer Renewal App
2011-2013
PDF | WORD
BE Producer App
2011-2013
PDF | WORD
BE Producer Renewal App
2011-2013
PDF | WORD
Individual Adjuster App
2011-2013
PDF | WORD
Individual Adjuster Renewal App
2011-2013
PDF | WORD
BE Adjuster App
2011-2013
PDF | WORD
BE Adjuster Renewal App
2011-2013
PDF | WORD
Please see the Product List by State document on the NIPR Web site for the states that use these products. The electronic applications at the NIPR site are based on these applications.