North Dakota: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

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

Resident Licensing

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

Contact Information

North Dakota Web Site

Mail Applications to:
North Dakota Insurance Dept
600 E. Blvd, Dept 401
Bismarck, ND 58505-0320

 

Non-Resident Contacts

Business and Individual
Kelvin Zimmer 
701.328.2440

 

Resident Contacts

Business and Individual
Kelvin Zimmer 
701.328.2440

 

NIPR Licensing

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

 

Non-Resident Licensing Checklist for Business Entities

Applicants for a Business Entity North Dakota non-resident insurance producer license must apply electronically through the National Insurance Producer Registry (NIPR). Paper applications will only be accepted when computer programming will not support the submission of an electronic application. Please contact the Department before submitting a paper application.

Organizational Documents

License Requirements

Surplus Lines Licensing

Appointment Requirements

No initial appointment with the application is required.

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Non-Resident Licensing Checklist for Individuals

Applicants for an individual North Dakota non-resident insurance producer license must apply electronically through the National Insurance Producer Registry (NIPR). Paper applications will only be accepted when computer programming will not support the submission of an electronic application. Please contact the Department before submitting a paper application.

License Requirements

Surplus Lines Licensing

Appointment Requirements

No initial appointment with the application is required.

Privacy Statement

"Pursuant to North Dakota Century Code § 26.1-26-30, the disclosure of the individual's social security number on the Uniform Application for Individual Non-Resident License is mandatory. The individual's social security number is used for identifying purposes in the processing of the license application. The North Dakota Department of Insurance will provide the social security number to the National Association of Insurance Commissioners and the National Insurance Producer Registry for inclusion in their respective producer databases."

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Resident Licensing Checklist for Business Entities

Applicants for a Business Entity North Dakota resident insurance producer license are encouraged to apply electronically through the National Insurance Producer Registry (NIPR).

Organizational Documents

License Requirements

Surplus Lines Licensing

Appointment Requirements

No initial appointment with the application is required.

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Resident Licensing Checklist for Individuals

Applicants for an individual North Dakota Resident insurance producer license are encouraged to apply electronically through the National Insurance Producer Registry (NIPR).

License Requirements

Surplus Lines Licensing

Appointment Requirements

No initial appointment with the application is required.

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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.