Vermont: Paper Licensing

Uniform Application for Business Entities
PDF | Word

Uniform Application for Individuals
PDF | Word

Non-Resident Licensing

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

Resident Licensing

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

Contact Information

Vermont Web Site

Mail Applications to:
Vermont Department of Financial Regulation
89 Main St., Drawer 20
Montpelier, VT 05620-3101

 

Non-Resident Contacts

Business and Individual
Licensing
802-828-3303

 

Resident Contacts

Business and Individual
Licensing
802-828-3303

 

NIPR Licensing

IMPORTANT NOTICE MANDATORY ELECTRONIC LICENSE SUBMISSIONS FOR NON-RESIDENTS

On September 1st, 2012, ALL Non Resident Producer, Business Entity, and Surplus Lines Broker license applications are required to be submitted electronically to the Department.

Effective July 1st, 2014 - ALL Non Resident PC Adjuster, DHS Adjuster, WC Adjuster, Crop Adjuster, Public Adjuster, Appraiser, Title Agent and Limited Lines Producer and Limited Lines Business Entity license applications must now be submitted electronically to the Department. This requirement includes the submission of supporting background documentation during the electronic application submission. An applicant may request a hardship exception to this requirement by stating the grounds for the hardship, and submitting the request by fax to 802-828-1633.

IMPORTANT NOTICE REPORTING OF ACTIONS (ROA) AND BACKGROUND QUESTION SUPPORTING DOCUMENTS (BQSD)

On September 1st, 2012 - ALL Non Resident licensees are required to report electronically administrative, criminal and applicable civil actions electronically, with the exception of Adjusters with a DHS.

Effective July 1st, 2014 - ALL Non Resident Licensees including DHS Adjusters must report ROA's done outside the application or renewal process using NIPR's Attachments Warehouse at www.nipr.com. 
Background Question Supporting Documents (BQSD) - New applications or renewal applications submitted electronically who have an affirmative answer to a background question will be prompted to attach their backup documentation during the application or renewal process. A licensee may request a hardship exception to this requirement by stating the grounds for the hardship, and submitting the request by fax to 802-828-1633.

IMPORTANT NOTICE NEW NAIC UNIFORM APPLICATION REQUIRED

Effective July 1st, 2014, the Department will only accept the newest version of the NAIC Uniform Application for those license types that have not been opened up electronically. The 2014 version is a 5 page application and has "2014 National Association of Insurance Commissioners" at the bottom of the application. Applicants can link to the application on our website.

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

Non-Resident Licensing Checklist for Business Entities

For more information on the state specific form, please visit their website at:
Vermont Non-Resident Licensing

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Non-Resident Licensing Checklist for Individuals

Other Requirements

Financial Responsibility

Appointment Requirements

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Resident Licensing Checklist for Business Entities

Other Requirements

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Resident Licensing Checklist for Individuals

Other Requirements

Financial Responsibility

Appointment 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.