Arkansas: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

Click here to apply for a non-resident license electronically.

Arkansas accepts the Uniform Licensing Application for nonresident business entities and individuals.

Resident Licensing

Arkansas accepts the Uniform Licensing Application for resident business entities and individuals.

Contact Information

Arkansas Insurance Department Web Site

Mail Applications to:
Arkansas Insurance Dept
Attn: License Division 
1200 West Third Street
Little Rock, AR 72201

 

Non-Resident Contacts

Business and Individual
Peggy Dunlap
501-371-2760

 

Resident Contacts

Business
Arkansas Insurance Department License Division
501-371-2750

Individual
Promissor's local processing office
501-663-2878

or

Arkansas Insurance Department License Division
501-371-2750

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

 

Non-Resident Licensing Checklist for Business Entities

Organizational Documents

Other Requirements

Appointment Requirements After Licensing

Social Security Number Disclosure

  1. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
  2. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

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Non-Resident Licensing Checklist for Individuals

Other Requirements

Appointment Requirements After Licensing:

Social Security Number Disclosure

  1. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
  2. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

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Resident Licensing Checklist for Business Entities

Limitations

Organizational Documents

Producers

Fees

Payment

Social Security Number Disclosure

  1. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.
  2. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

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Resident Licensing Checklist for Individuals

Other Requirements

Mail complete uniform application and fee to Promissor at:
Promissor
1123 S. University Ave, Suite 915
Little Rock AR 72204

Affirmative answers to questions 36 (1,2,3,4,5, 6, 7) must have documentation attached to the application. Failure to submit documentation will cause the application to be returned unprocessed.

Once the exam permit is issued the applicant must call Promissor at 888-204-6259 to set the place and time of the exam. Exam sites are located in Memphis, TN, Texarkana AR/TX, Springdale, AR and Little Rock, AR.

Applicants must bring proof of completion of pre-licensing education at the time of the exam. If the certification of pre-license completion is not presented at the time of the exam, the applicant will not be allowed to sit for the exam.

Exam fees are non-refundable.

Social Security Number Disclosure

  1. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information. 
  2. We are required to obtain Social Security Numbers in connection with your application for occupational and professional licenses to comply with federal law as set out in 42 U.S.C. §§ 450(c)(2)(C)(i), 654, and 666, and by state law under Ark. Code Ann. § 17-1-104. Your Social Security Number may then be used for the purposes set forth in those statutes, including the enforcement of spousal and child support orders and paternity determinations, and the administration of tax systems, and may be shared with the agencies which have responsibility for those matters. Your Social Security Number will not appear on the face of your license, but will be kept on file by the Arkansas Insurance Department with your license information.

IF YOU DO NOT AGREE TO THE USE OF YOUR SOCIAL SECURITY NUMBER AS DESCRIBED IN PARAGRAPH 2, YOU MUST SO ADVISE THE DEPARTMENT IN WRITING TO THE ADDRESS BELOW.

Arkansas Insurance Department
Licensing Division
1200 W. Third St.
Little Rock, AR 72201

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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.