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: Portable Electronics
Add a Designated Responsible License Producer
Add a ‘Doing Business As’ Name
Addendum to Title Insurance Agent License Application, Title
Address Change Involving a State Change
Annual Report: Third Party Administrator
Application: Business Entity, Adjuster
Application: Independent Review Organization
Application: Individual Adjuster
Application: Life Settlement Broker
Application: Life Settlement Provider
Application: Managing General Agent Designation
Application: Registration as a Pharmacy Benefit Manager
Application: Registration as a Reinsurance Intermediary Exemption
Application: Registration as an Administrator
Application: Registration as a Pharmacy Benefit Manager
Application: Reinsurance Intermediary Manager
Application: Third Party Administrator, Home-State
Application: Third Party Administrator, Non-Resident
Application: Third Party Administrator, Registered
Appointment of Authority to Act Under a Company License
Appointment of Title Insurance Agent/Escrow Officer, Title
Audited Financial Statement Exception Application
Authority for a Bail Agent to Act Under a Bail Agency License
Cancellation of a Line of Authority
Certification of Active Bond-Bail
Change of Officers Notification
Change of Ownership Notification
Contact Change: Business Entity
Continuing Education Coordinator Update
Contact Change: Continuing Education Provider
Contact Change: State to State
Continuing Education: Exhibit C: Sample Certificate of Completion
Continuing Education: Exhibit D: Sampel Roster Form
Continuing Education: Exhibit E
Continuing Education Provider, Contact Change
Hard Card Fingerprint Instructions
How to Apply for a Resident Bail Bond License
How to Apply for a Resident Independent Adjuster License
How to Apply for a Resident Producer License
How to Apply for a Resident Public Adjuster License
How to Change Your Contact information
Idaho Filing Submission Documentation for Life Settlements
Independent Review Organization, Application
Independent Review Organization: Late Renewal Application
Independent Revie Organization Renewal Application
Individual License: Late Renewal Application
Individual Renewal Application
Individual License, Voluntary Surrender
Late Renewal Application: Bail Agent
Late Renewal Application: Business Entity
Late Renewal Application: Individual
Late Renewal Application: Independent Review Organization
Late Renewal Application: Managing General Agent
Life Settlement Broker Application
Life Settlement Provider Application
Limited Lines Producer Pre-Licensing Manual
NAIC Uniform Application: Business Entity
NAIC Uniform Application: Business Entity, Adjuster
NAIC Uniform Application: Individual Adjuster
NAIC Uniform Application: Individual
Name Change Request: Business Entity
Name Change Request: Individual
Notice to Life Annuities Insurers and Producers
Registration: Bail Agent to Bail Agency
Registration as a Pharmacy Benefit Manager Application
Registration as a Reinsurance Intermediary Exemption Application
Registration as an Administrator Application
Registration as a Pharmacy Benefit Manager Application
Reinsurance Intermediary Manager Application
Reinsurance Intermediary Exemption, Voluntary Surrender
Renewal Application: Independent Revie Organization
Renewal Application: Individual
Renewal Application: Managing General Agent
Renewal Application: Third Party Administrator, Licensed
Temporary Resident Producer License Request Form
Termination of a Bail Agent’s Authority to Act Under a Bail Agency License
Termination of a Producers Authority to Act Under a Company or Business Entity License
Third Party Administrator Filing Extension Request
Third Party Administrator, Home-State Application
Third Party Administrator, Licensed Renewal Application
Third Party Administrator, Non-Resident Application
Third Party Administrator, Registered Application
Third Party Administrator, Registered Renewal Application
Third Party Administrator: Termination of Agreement
Third Party Administrator, Voluntary Surrender
Title: Addendum to Title Insurance Agent License Application
Title: Appointment of Title Insurance Agent/Escrow Officer
Title: Endorsement by Title Insurance Company
Title Exhibit A: Information regarding Title Plant
Title Financial Interest Notice
Title: Short Term Escrow Rates
Transition a Small Portable Electronics License to a Large Portable Electronics License
#
A
Add a Designated Responsible Producer: Portable Electronics
Add a Designated Responsible License Producer
Add a ‘Doing Business As’ Name
Addendum to Title Insurance Agent License Application, Title
Address Change Involving a State Change
Annual Report: Third Party Administrator
Application: Business Entity, Adjuster
Application: Independent Review Organization
Application: Individual Adjuster
Application: Life Settlement Broker
Application: Life Settlement Provider
Application: Managing General Agent Designation
Application: Registration as a Pharmacy Benefit Manager
Application: Registration as a Reinsurance Intermediary Exemption
Application: Registration as an Administrator
Application: Registration as a Pharmacy Benefit Manager
Application: Reinsurance Intermediary Manager
Application: Third Party Administrator, Home-State
Application: Third Party Administrator, Non-Resident
Application: Third Party Administrator, Registered
Appointment of Authority to Act Under a Company License
Appointment of Title Insurance Agent/Escrow Officer, Title
Audited Financial Statement Exception Application
Authority for a Bail Agent to Act Under a Bail Agency License
B
Bail Agent: Late Renewal Application
Bail Renewal Fingerprint Packet, Non-Resident
Bail Renewal Fingerprint Packet, Resident
Bond of Managing General Agent
Business Entity: Late Renewal Application
Business Entity License, Voluntary Surrender
C
Cancellation of a Line of Authority
Certification of Active Bond-Bail
Change of Officers Notification
Change of Ownership Notification
Contact Change: Business Entity
Continuing Education Coordinator Update
Contact Change: Continuing Education Provider
Contact Change: State to State
Continuing Education: Exhibit C: Sample Certificate of Completion
Continuing Education: Exhibit D: Sample Roster Form
Continuing Education: Exhibit E
Continuing Education Provider, Contact Change
Continuing Education: Sample Course Sign-in Sign-out Form
D
Designated Responsible Licensed Producer (DRLP), Add
‘Doing Business As’ (DBA) Name, Add
E
Endorsement by Title Insurance Company, Title
Exhibit A: Information regarding Title Plant, Title
F
Fingerprint Packet: Bail Renewal, Non-resident
Fingerprint Packet: Bail Renewal, Resident
Flyer: Independent Adjuster, Non-resident
Flyer: Independent Adjuster, Resident
Flyer: Independent Review Organization
Flyer: Life Settlements Broker
Flyer: Life Settlements Provider
Flyer: Public Adjuster, Non-resident
Flyer: Public Adjuster, Resident
Flyer: Third Party Administrator, Licensed
Flyer: Third Party Administrator, Registered
G
H
Hard Card Fingerprint Instructions
How to Apply for a Resident Bail Bond License
How to Apply for a Resident Independent Adjuster License
How to Apply for a Resident Producer License
How to Apply for a Resident Public Adjuster License
How to Change Your Contact information
How to Check Your CE Transcript
How to Use SBS for Organizations
I
Idaho Filing Submission Documentation for Life Settlements
Independent Review Organization, Application
Independent Review Organization: Late Renewal Application
Independent Revie Organization Renewal Application
Individual License: Late Renewal Application
Individual Renewal Application
Individual License, Voluntary Surrender
Instructions for IRO Registration Process
Insurance Producer Fee Disclosure Form
L
Late Renewal Application: Bail Agent
Late Renewal Application: Business Entity
Late Renewal Application: Individual
Late Renewal Application: Independent Review Organization
Late Renewal Application: Managing General Agent
Life Settlement Broker Application
Life Settlement Provider Application
Limited Lines Producer Pre-Licensing Manual
Line of Authority, Cancelation
M
Managing General Agent Designation Application
Managing General Agent Renewal Application
N
NAIC Uniform Application: Business Entity
NAIC Uniform Application: Business Entity, Adjuster
NAIC Uniform Application: Individual Adjuster
NAIC Uniform Application: Individual
Name Change Request: Business Entity
Name Change Request: Individual
Notice to Life Annuities Insurers and Producers
Notification of Officer Change
Notification of Change of Ownership
O
P
Q
R
Registration: Bail Agent to Bail Agency
Registration as a Pharmacy Benefit Manager Application
Registration as a Reinsurance Intermediary Exemption Application
Registration as an Administrator Application
Registration as a Pharmacy Benefit Manager Application
Reinsurance Intermediary Manager Application
Reinsurance Intermediary Exemption, Voluntary Surrender
Renewal Application: Independent Revie Organization
Renewal Application: Individual
Renewal Application: Managing General Agent
Renewal Application: Third Party Administrator, Licensed
Renewal Application: Third Party Administrator, Registered
Request for a Letter of Clearance
S
Secretary of State Registration Information
Short Term Escrow Rates, Title
Standards for Life Settlement Contracts
T
Temporary Resident Producer License Request Form
Termination of a Bail Agent’s Authority to Act Under a Bail Agency License
Termination of a Producers Authority to Act Under a Company or Business Entity License
Third Party Administrator Filing Extension Request
Third Party Administrator, Home-State Application
Third Party Administrator, Licensed Renewal Application
Third Party Administrator, Non-Resident Application
Third Party Administrator, Registered Application
Third Party Administrator, Registered Renewal Application
Third Party Administrator: Termination of Agreement
Third Party Administrator, Voluntary Surrender
Title: Addendum to Title Insurance Agent License Application
Title: Appointment of Title Insurance Agent/Escrow Officer
Title: Endorsement by Title Insurance Company
Title Exhibit A: Information regarding Title Plant
Title Financial Interest Notice
Title: Short Term Escrow Rates
Transition a Small Portable Electronics License to a Large Portable Electronics License
U
Uniform Continuing Education Reciprocity Course Filing Form
Update Address, State to State
V
Voluntary Surrender: Business Entity License
Voluntary Surrender: Individual License
Forms 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
Forms
Application Form, Business Entity
Continuing Education, Resident Flyer
FBI Request and Release Form-CHRI
Fingerprint Packet, Bail Agent (Non-Resident)
Fingerprint Packet, Bail Agent (Resident)
Idaho State Police Fingerprint Form, Resident
Termination of a Bail Agent’s Authority to Act Under a Bail Agency License
Termination of a Producers Authority to Act Under a Company or Business Entity License
Update Address Form, State to State
Links
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
Forms
Application Form, Title Insurance Agent
Appointment Form, Title Insurance Agent
LLC Addendum, Title Insurance Agent Entities
Title Insurance Agent Endorsement
Title Insurance Agent Exhibit A
Title Insurance Final Interest Notice
Renewal Packet, Title Insurance Agent
Continuing Education Forms
Continuing Education Catalogue
Continuing Education Coordinator Update
Contact Change: Continuing Education Provider
Contact Change: State to State
Continuing Education: Exhibit C: Sample Certificate of Completion
Continuing Education: Exhibit D: Sampel Roster Form
Continuing Education: Exhibit E
Continuing Education Provider, Contact Change
Continuing Education: Sample Course Sign-in Sign-out Form
Continuing Education, Resident Flyer
Continuing Education Transcripts
Links and Other Resources
Address Change, Business Entity
Address Update, Business Entity
Address, Phone, or Email Changes
Apply for a License: Bail Agent
Apply for a License: Independent Adjuster, Individual
Apply for a License: Life Settlement Broker
Apply for a License: Life Settlement Provider
Apply for a License: Portable Electronics Vendor
Apply for a License: Producer Individual
Apply for a License: Producer, Business Entity
Apply for a License: Public Adjuster, Business Entity
Renew a License: Independent Adjuster, Individual
Renew a License: Life Settlement Broker
Renew a License: Life Settlement Provider
Renew a License: Portable Electronics Vendor
Renew a License: Producer Individual
Renew a License: Producer, Business Entity
Renew a License: Public Adjuster, Business Entity
A
Address Change, Business Entity
Address Update, Business Entity
Address, Phone, or Email Changes
Apply for a License: Bail Agent
Apply for a License: Independent Adjuster, Individual
Apply for a License: Life Settlement Broker
Apply for a License: Life Settlement Provider
Apply for a License: Portable Electronics Vendor
Apply for a License: Producer Individual
Apply for a License: Producer, Business Entity
Apply for a License: Public Adjuster, Business Entity
Apply for a License: Public Adjuster, Individual
Apply for a License: Surplus Lines Broker
B
Business Entity, Address Change
Business Entity, Contact Change,
Business Entity, Update Phone Number
C
Change Address, Business Entity
Change Email Address, Business Entity
Change Email Address, Individual
Change Phone Number, Business Entity
Change Phone Number, Individual
Check Your Continuing Education Transcripts
D
Deadline for Renewal of TPA license or Registration
E
Email Address Update, Business Entity
Email Address Update, Individual
F
G
H
I
Idaho Surplus Lines Organization
Individual Email Address Change
Individual Phone Number Change
Introduction to the Surplus Lines Market
J
K
L
M
N
O
P
Phone Number Change, Business Entity
Phone Number Change, Individual
R
Renew a License: Independent Adjuster, Individual
Renew a License: Life Settlement Broker
Renew a License: Life Settlement Provider
Renew a License: Portable Electronics Vendor
Renew a License: Producer Individual
Renew a License: Producer, Business Entity
Renew a License: Public Adjuster, Business Entity
Renew a License: Public Adjuster, Individual
Renew a License: Surplus Lines Broker
S
Self-Funded Health Plan Survey
T
U
Update Address, Business Entity
Update Contact Information, Business Entity
Update Contact Information, Individual
Update Email Address, Business Entity
Update Email Address, Individual
Update Phone Number, Business Entity
Update Phone Number, Individual
V
W
X
Y
Z