Electronic Filings: When selecting the NIPR (National Insurance Producer Registry) or LEO links below you will leave the Arkansas Insurance Department website. If you have questions or problems with your transaction on the NIPR or LEO website, you will need to contact their help line for assistance.

Name

Number

Link

ADDRESS:

Address Change Form

On-line Address Change Form

Leo Online Services

NIPR

ADJUSTER:                                                                                                                 

Application and Instructions            

Limited Lines Crop Adjuster Application and Instructions

APPOINTMENTS:

NAIC Uniform Appointment/Termination Instructions

NAIC Uniform Agent Appointment/Termination Form

On-line Agent/Agency (Electronic) Appointments

Agency Appointment/Amended Appointment Instructions

Agency Appointment

Amend Agency Appointment

Agency Appointment Termination Instructions

Agency Appointment Termination Form and 

Agent Appointment Termination Under Agency Form

ASSUMED BUSINESS NAME:

Filing Form

BUSINESS ENTITY (AGENCY):

Resident Business Entity Instructions

Resident Business Entity Uniform License Application

Non-Resident Business Entity Instructions

Non-Resident Business Entity Uniform License (Paper) Application

Addition and Termination Instructions

     Producer Addition

     Producer Termination

Business Entity Name Change Instructions

CONSULTANTS:

LICENSE (ARF) REPLACEMENT:

Replacement License Renewal for Producers, Adjusters, and Consultants

Replacement License Renewal for Business Entities

License Surrender Form

LIFE SETTLEMENT:

Instructions 

Life Settlement Broker Individual

Life Settlement Broker Business Entity

Life Settlement Producer Notice

Life Settlement Provider Applications Are Processed By Our Life & Health Division

MANAGING GENERAL AGENT:

License Instructions

License Application

PDF

Company Appointment

Termination of Company Appointment

Bond

Contract

License Instructions

Portable Electronic Insurance Application (More than 10)

Portable Electronic Insurance Limited Application (10 or Less)

PRODUCER (Agent, Broker, Consultant):

Resident Testing and License Instructions / Application

Resident Limited Lines License Instructions

On-line Resident and Non-Resident License Renewal

Non-Resident Uniform License Instructions

Non-Resident Uniform (Paper) License Application

On-line Non-Resident (Electronic) License Application

On-line Non-Resident (Electronic) License Renewal

RENTAL CAR:

Rental Car Company Application

SURPLUS LINES:

Broker/Producer Testing and License Instructions

Broker/Producer License Application

Producer for Business Entity Application

Broker/Producer Bond

Producer for Business Entity License Instructions

Producer for Business Entity Application

Add Producer to Surplus Lines Agency

Filing Forms and Instructions

SELF, TRUST, MET, MEWA:

Registration  Instructions

Self-Funded Single Employer Plans, Collectively Bargained Welfare Benefit Plans, Multiple Employer Trusts and Multiple Employer Welfare Arrangements Registration Form

THIRD PARTY ADMINISTRATOR:

Registration  Instructions

Registration Application

Bond

TITLE:

Summary of Fees

New Title Agent Instructions

Title Agent Application

New Title Agency Instructions

Title Agency Application

Title Agency Replacement Renewal

Addition and Termination Instructions

     Producer Addition 

     Producer Termination

Title Insurance Continuing Education

VIATICAL:

See Life Settlement Above