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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 701.328.2440 701.328.4880 fax 800.247.0560 toll free 800.366.6888 TTY line Links Application for Administrator-Certificate of Registration 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 Submit or update your email address (business entities) Submit or update your email address (individuals) Voluntary Cancellation - Insurance Producer License SFN 53881

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