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