Agency Affiliations & Terminations  

Assumed Business Name    

Business Entity

License Renewal      

License Surrender

Managing General Agent

Motor Club

  • License Instructions & Filing  Paper   

Name Change

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

  • Broker Checklist  Paper   
  • Manager Checklist  Paper   

Rental Car

  • Company Application Form

Surplus Lines Business Entity

Third Party Administator

Title Agency

  • License Fee $250, Late Fee $100, Total if late $350