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Home : Producers/agents : Forms Forms Please contact us if you have difficulty finding a form that you need. ndlicensing@nd.gov State Capitol, fifth floor Dept. 401 600 E. Boulevard Ave. Bismarck, ND 58505-0320 701.328.3548 701.328.4880 fax 800.247.0560 toll free 800.366.6888 TTY line Links Application for Administrator-Certificate of Registration SFN 16853 Application for Continuing Education Insurance Course SFN 10920 Application for Continuing Education Provider Coordinator SFN 10921 Appointment / Termination SFN 50291 Change of Address/Name SFN 50072 Course Completion Certificate SFN 10923 Electronic address change Electronic Appointment Renewals Electronic Non-Resident Insurance Producer License (for Individuals or Business Entities) Electronic Non-Resident License Renewal NAIC - Uniform Resident Application Forms (for Individuals or Business entites) National Insurance Producer Registry (NIPR) Notice of Course Subsequent Offering SFN 10926 Voluntary Cancellation - Insurance Producer License SFN 53881

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