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To voluntarily cancel your North Dakota insurance producer license, complete, date and sign form SFN 53881 and fax or mail the form to the North Dakota Insurance Department.

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

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