Initial application
- Company Licensing Fee and Transmittal Form, FIN321
- Premium Finance Company License Application, FIN160
- List of Principals - Premium Finance Applicant, FIN164
- Questionnaire - Premium Finance Applicant, FIN165
- Biographical Affidavit - Premium Finance Applicant, FIN166
- List of Other States of Licensure - Premium Finance Applicant, FIN167
- Appointment of Statutory Agent and Consent to Service - Premium Finance Applicant, FIN168
Bank or savings and loan application
- Company Licensing Fee and Transmittal Form, FIN321
- Application for a Premium Finance License by a Bank or Savings and Loan Association, FIN162
- Appointment of Statutory Agent and Consent to Service - Premium Finance Applicant, FIN168
Additional forms
- PF Schedule A - Additional Location, FIN170
- PF1A - Supplemental Application - Premium Finance, FIN161
- PF Schedule B - Relocation, FIN171
- PF Schedule C - Name Change, FIN172
- PF Schedule D - Change of Ownership, FIN173
Renewal of Premium Finance or Premium Finance Bank License
Renewal online at www.Sircon.com Review the following tutorial before starting the renewal process Tutorial for Premium Finance License Renewal
- Renewal fee is $200 if renewed before December 31st (non-refundable)
- Late fee is $100 if renewed after December 31st
- List of Principals - Premium Finance Applicant, FIN164 (if applicable)
- Questionnaire - Premium Finance Applicant, FIN165 (if applicable)
- Biographical Affidavit - Premium Finance Applicant, FIN166 (if applicable)
- Tutorial for Attaching a Deficiency to a Renewal
- Licenses not renewed within 90 days after expiration will be made inactive.
Application for reinstatement of an inactive license may be submitted up to two years after the expiration date
- Reinstate online at www.Sircon.com Review the tutorial before starting the application process Tutorial for Premium Finance License Reinstatement
- The reinstatement application fee due during the first year of eligibility is $400 (non-refundable). Example: +90 days up to one year from expiration date
- The reinstatement application fee due during the second year of eligibility is $600 (non-refundable).
- Submit updates if changes have occurred
- List of Principals - Premium Finance Applicant, FIN164 (if applicable)
- Questionnaire - Premium Finance Applicant, FIN165 (if applicable)
- Biographical Affidavit - Premium Finance Applicant, FIN166 (if applicable)
Copy of Premium Finance License
Need a copy of the current license? Send an email to CLRRequests@tdi.texas.gov. If you need a certified copy send your check for $11.00 along with TDI Form 321 to the address on the form.
Printing your license from Sircon.com is currently not available. The template Sircon uses for the license is very generic to accommodate all states. Texas prefers to use state specific templates that we can customize across our different license types.
Annual Operations Report
Annual Operations Reports are due April 1 with $250.00 annual assessment fee
- Annual Operations Report, FIN139
- Send check payable to Texas Department of Insurance for $250.00 along with Company Licensing Fee and Transmittal Form, FIN321 to the mailing address on the form.