In order to take full advantage of the forms provided by the Department of Insurance you will need to open them in a PDF reader such as Adobe Acrobat.
All Forms (alphabetical order)
Add a Designated Responsible Producer (DRLP)
Application, Business Entity License
Application, Business Entity Adjuster License
Application and Renewal for Registered TPA
Application, Idaho Home State Third Party Administrator
Application, Independent Review Organization
Application, Independent Adjuster License
Application, Individual Producer License
Application, Life Settlement Broker License
Application, Life Settlement Provider
Application, Title Insurance Agent
Application, TPA, Non-Resident
Application Packet, Managing General Agent
Application Packet, Reinsurance Intermediary
Appointment Form- Authority to Act Under Company License
Cancellation of a Line of Authority
Change Address, State to State Form
Change Contact Information, Individual
Continuing Education Catalogue
Continuing Education Exhibit, A
Continuing Education E Exhibit B
Continuing Education E Exhibit C
Continuing Education E Exhibit D
Continuing Education Instructor Approval
Registration, Pharmacy Benefit Manager
Reinstatement, Business Entity, Non-Resident
Reinstatement, Business Entity, Resident
Reinstatement, Individual, Non Resident
Reinstatement, Individual Resident
Reinstatement Packet Bail Agency
Reinstatement Packet, Bail Agent
Reactivation Packet, Bail Agent
Reinstatement, Independent Review Organization
Reinsurance Intermediary Exemption and Registration Form
Renewal, Independent Review Organization
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A
Add a Designated Responsible Producer (DRLP)
Application, Business Entity License
Application, Business Entity Adjuster License
Application and Renewal for Registered TPA
Application, Idaho Home State Third Party Administrator
Application, Independent Review Organization
Application, Independent Adjuster License
Application, Individual Producer License
Application, Life Settlement Broker License
Application, Life Settlement Provider
Application, Title Insurance Agent
Application, TPA, Non-Resident
Application Packet, Managing General Agent
Application Packet, Reinsurance Intermediary
Appointment Form- Authority to Act Under Company License
Appointment, Title Insurance Agent
Audited Financial Statement Exception Application
B
Bond Form, Managing General Agent
Bond Form, Title Insurance Agent
Business Entity Instructions form the DOI
Business Entity SOS Information Sheet
C
Cancellation of a Line of Authority
Change Address, State to State Form
Continuing Education Catalogue
Continuing Education Exhibit, A
Continuing Education E Exhibit B
Continuing Education E Exhibit C
Continuing Education E Exhibit D
Continuing Education Instructor Approval
Continuing Education, Resident Flyer
D
‘Doing Business As Name’ Updates or Additions
E
F
Fingerprint Packet, Bail Agent (Non-Resident)
Fingerprint Packet, Bail Agent (Resident)
G
H
I
Idaho State Police Fingerprint Form, Resident
L
Life Settlements Filing Submission Documentation
Life Settlements, Broker Flyer
Life Settlements, Provider Flyer
Limited Lines Producer Pre-Licensing Manual
N
O
P
Provider Contact Change Request Form
Q
R
Registration, Pharmacy Benefit Manager
Reinstatement, Business Entity, Non-Resident
Reinstatement, Business Entity, Resident
Reinstatement, Individual, Non Resident
Reinstatement, Individual Resident
Reinstatement Packet Bail Agency
Reinstatement Packet, Bail Agent
Reactivation Packet, Bail Agent
Reinstatement, Independent Review Organization
Reinsurance Intermediary Exemption and Registration Form
Renewal, Independent Review Organization
Renewal Packet, Title Insurance Agent
S
Sample Course Sign-in Sign-out Form
T
Termination Form, for a Registration or Appointment
Termination of Appointment, Producer
Third Party Administrator Flyer
Title Insurance Agent Entities
Title Insurance Agent Endorsement
Title Insurance Agent Exhibit A
Title Insurance Final Interest Notice
TPA Filing Extension Application
Travel Limited Lines Reporting Portal
U
Uniform Continuing Education Reciprocity Course Filing Form
Update Address, State to State
V
Vertafore for Education Providers Brochure
Voluntary Surrender, Individuals
Voluntary Surrender, Business Entities
Voluntary Surrender, Reinsurance Intermediary Exemption
Voluntary Surrender, Retirement Reasons
Header text
Resources by License Type
- Adjuster, Independent
- Adjuster, Public
- Bail
- IRO
- Life Settlement
- Limited Lines
- Portable Electronics
- Producer, Business Entity
- Producer, Individual
- Surplus Lines Broker
- Third Party Administrators
- Title Agent
- Other
Links
Check Your Continuing Education Transcripts
Printable Forms
Application Form, Business Entity
Continuing Education, Resident Flyer
Fingerprint Packet, Bail Agent (Non-Resident)
Fingerprint Packet, Bail Agent (Resident)
Idaho State Police Fingerprint Form, Resident
Termination Form, for a Registration or Appointment
Termination of Appointment, Producer
Update Address Form, State to State
Links
Update Contact Information via NIPR
Printable Forms
Application Form, Independent Review Organization
Renewal Form, Independent Review Organization
Links
Letters of Certification Request for Non-Resident States
Letter of Clearance Request from the State of Idaho
Printable Forms
Application Form, Life Settlement Broker License
Application Form, Life Settlement Provider
Life Settlements Filing Submission Documentation Form
Life Settlements, Broker Flyer
Life Settlements, Provider Flyer
Limited Lines Producer Pre-Licensing Manual
Update Address Form, State to State
Links
Self-Funded Health Plan Survey
Deadline for renewal of TPA license or registration
Address, Phone, or Email Changes
Forms
Change of Officers/Directors Form
Application Form, Idaho Home State Third Party Administrator
Application Form, TPA, Non-Resident
Audited Financial Statement Exception Application
Change of Officers If Officer Changes are in connection with an Idaho Home State License, please include Biographical Affidavits for each new officer
Continuing Education Resources
Continuing Education Catalogue
Continuing Education Exhibit, A
Continuing Education E Exhibit B
Continuing Education E Exhibit C
Continuing Education E Exhibit D
Continuing Education, Resident Flyer
Continuing Education Transcripts
Notice to Life/Annuities Insurers and Producers
Have more questions?
Contact the Licensing Team