Arizona: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

Arizona does accept the Uniform Licensing Application for nonresident business entities and individuals.

Resident Licensing

Arizona does accept the Uniform Licensing Application for resident business entities or individuals.

Contact Information

Mail Applications to:
Arizona Department of Insurance 
Insurance Licensing Section
2910 N. 44 th St. # 210
Phoenix, AZ 85018-7269

Non-Resident Contacts

Business and Individual 
licensing@azinsurance.gov
Phone: 602-364-4457 

This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Arizona.

 

Non-Resident Licensing Checklist for Business Entities

Appointment Requirements

Financial Responsibility

Other Requirements

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Non-Resident Licensing Checklist for Individuals

Appointment Requirements

Financial Responsibility

Other Requirements

Note: AZ applicants must agree that they are not applying for a producer license for the use of principally procuring insurance that covers themselves, a member of their family or relatives to the second degree, their own personal property or insurable interests and/or the property or insurable interests of their relatives to the second degree, their employer or employees, or a firm or corporation in which they own a substantial interest or of which they are an employee. [Arizona Revised Statutes 20-285 (B)(1-5)]

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DISCLAIMER

The National Insurance Producer Registry ("NIPR") populates the State Matrix of Business Rules ("State Matrix") with information provided directly from participating state insurance departments. Participating states are encouraged to provide updated information when appropriate. NIPR does not guarantee the completeness, accuracy or adequacy of the information in the State Matrix. The information in the State Matrix does not constitute legal advice and use of this information is at user's own risk and responsibility. Any questions regarding the interpretation of the rules or the accuracy of the information should be directed to the appropriate state insurance department.