| Description | File Format |
|---|---|
| Application for Texas resident insurance agent Use this online application to apply for all license types. Learn more about the license application process by going to our Agent and adjuster licensing > click on the license type you are interested in. |
Online |
| Electronic Non-resident Application Individual or Entity: Links to NIPR, at the Texas instruction page for the electronic application. That page is linked to a Use Agreement page. The "Agree" button links to the actual application. |
Online |
| Licensing renewal application Renew License Online |
Online |
| NIPR Electronic Address Change Request For in-state address changes, an agent or adjuster can use this tool to simultaneously provide an address change notification to all state insurance departments where the agent or adjuster is licensed. There is no charge for the service. |
Online |
| Application for Individual Adjuster License | Online |
Agent / Adjuster Application Forms
If the form is a fillable PDF, learn how to enable all fillable form features.
| TDI form number | Description | Format | Language |
|---|---|---|---|
| FIN430 |
License Application for a Life Settlement Provider or Broker Original application for licensure of a life settlement broker or provider, which includes checklists for filing requirements of the initial application |
English | |
| FIN431 |
Application for Renewal, Surrender, or Change of Information for a Life Settlement Provider or Broker Application for renewal of a broker or provider license or to report change of information of an existing life settlement broker or provider |
English | |
| FIN432 |
Life Agent Notification to TDI to act as a Life Settlement Broker Required for applicants who have held a resident Texas life or life and health license for at least one year |
English | |
| FIN434 |
Biographical Affidavit for Life Settlement Providers or Brokers Biographical affidavit. Must be completed by all individuals specified in the instructions of FIN430 and FIN431, as adopted by rule. |
English | |
| FIN505 |
Licensing Corporate Insurance Agents Bond (aka Insurance Agency Bond) Method of showing proof of financial responsibility to obtain corporate license |
English | |
| FIN507 |
Application for Insurance Agency License Use for county mutual, risk manager, funeral pre-arrangement life, life and health insurance counselor, and life insurance not exceeding $25,000. For other license types, apply online at www.Sircon.com. |
English | |
| FIN509 |
Public Insurance Adjuster Bond - Licensing Certifies that the persons listed on the form are bound to the Texas Department of Insurance in the sum of $10,000 as specified at 28 Texas Administrative Code Section 19.705. |
English | |
| FIN510 |
Licensing Application for Reinsurance Intermediary License For individuals and entities to apply for a Reinsurance Intermediary License under the provisions of TIC, Chapter 4152. |
English | |
| FIN511 |
Licensing Reinsurance Intermediary Biographical Affidavit To register individuals to be associated to a Reinsurance Intermediary License. |
English | |
| FIN512 |
Licensing Reinsurance Intermediary Agent For Service of Process Nonresident Reinsurance Intermediary License applicant or licensee must use this form to appoint a Texas resident on whom a notice or order or process may be served. |
English | |
| FIN513 |
Licensing Reinsurance Intermediary Bond Method of showing proof of financial responsibility for a Reinsurance intermediary License. |
English | |
| FIN514 |
Specialty Insurance License Application Specialty Insurance License Application (Li004, LHL207) |
English | |
| FIN535 |
Public Insurance Adjuster Contract This contract form is prescribed by the Texas Department of Insurance to satisfy contract requirements for Public Insurance Adjusters effective January 01, 2014. |
English | |
| FIN594 |
Application for Residency Change to Texas Form for individuals changing state of residency to TX. Agencies must apply for a resident license via Sircon or the National Insurance Producer Registry. |
English | |
| FIN700 |
Appointment certification |
English |
For more information, contact: License@tdi.texas.gov