Maine: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

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

Resident Licensing

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

Contact Information

Maine Web Site

Mail Applications to:
Maine Bureau of Insurance
34 State House Station
Augusta, ME 04333

 

Non-Resident Contacts

Business and Individual
Debra Ayotte
207-624-8413

Kathryn Latulippe
207-624-8441

 

Resident Contacts

Business and Individual
Debra Ayotte
207-624-8413

Kathryn Latulippe
207-624-8441

 

NIPR Licensing

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

 

Non-Resident Licensing Checklist for Business Entities

Question #25: The responsible individual must hold a Maine license.  Please name only one responsible individual.

Question #26: Maine law requires a list of all affiliated producers, state of domicile, and Maine license # (or SSN) be provided, in addition to a list of owners, partners, officers and directors.

Question #27: If license type is to be other than a Producer Business Entity, please be sure to specify whether the entity is an adjusting firm or a consulting firm.

Other Requirements

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Non-Resident Licensing Checklist for Individuals

Other Requirements

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Resident Licensing Checklist for Business Entities

Question #25: The responsible individual must hold a Maine license.  Please name only one responsible individual.

Question #26: Maine law requires a list of all affiliated producers, state of domicile, and Maine license # (or SSN) be provided, in addition to a list of owners, partners, officers and directors.

Question #27: If license type is to be other than a Producer Business Entity, please be sure to specify whether the entity is an adjusting firm or a consulting firm.

Other Requirements

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Resident Licensing Checklist for Individuals

Other Requirements

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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.