Uniform Application for Business Entities
PDF | Word
Uniform Application for Individuals
PDF | Word
Indiana accepts the Uniform Licensing Application for nonresident business entities and individuals.
Indiana accepts the Uniform Licensing Application for resident business entities and individuals.
Mail Applications to:
Indiana Department of Insurance
311 West Washington Street
Indianapolis, IN 46204-2787
Non-Resident Contacts
Business and Individual
Agent Licensing Division
317-232- 2413
This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Indiana.
* Checks payable to Indiana Department of Insurance
* Checks payable to Indiana Department of Insurance
* Checks payable to Indiana Department of Insurance
* Checks payable to Indiana Department of Insurance
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.