Forms & Instructions
Agency Affiliations & Terminations
Assumed Business Name
Business Entity
- Name Change Instructions
License Renewal
- Renewal Fees
- Request for waiver of late renewal penalty Form
License Surrender
Managing General Agent
- Instructions
- License Application
- Company Appointment
- Termination of Company Appointment
- Bond
- Contract
Motor Club
- License Instructions & Filing Paper
Name Change
- Individual Licensee Name Change Form & Instructions
Producer (includes Adjuster, Consultant and Surplus Lines)
- Testing & License Handbook
- Adjuster Affidavit Form
- Criminal Background Check Electronic Form (INA)
- Moving to Arkansas (Change from Non-resident to Resident) Form
- Emergency Temporary License Instructions
Regulatory Health Link (IPA Guide, Navigator, Certified Application Counselor, Exchange Producer)
- Additional Information on Insurance Department RHL Division
Reinsurance Intermediary
Rental Car
- Company Application Form
Surplus Lines Business Entity
- Broker/Producer Bond Form
- Filing forms and instructions (NAIC)
Third Party Administator
- Registration Instructions & Application
- Bond
Title Agency
-
License Fee $250, Late Fee $100, Total if late $350
Title
- Summary of fees
- New agent Instructions
- Agent Affidavit
- Agent replacement renewal (ARF) Form
- New agency Instructions
- Agency replacement renewal Form
- Agency Addition & Termination Instructions
- Producer addition Form
- Producer termination Form
- Continuing Education Courses & Providers (SBS)