What Are The Licensing Application Procedures?

The following is a list of the forms that must be submitted to apply for each type of license for a resident of Washington:

Agent (Individual)

  • Pre­License Education Certificates of Completion (for Life, Disability, Property, Casualty, Rules & Regulations)
  • Insurance License Application (INS­14 WordPerfect) (INS­14MS Word)
  • Two Fingerprint Cards
  • Appointment and/or Affiliation Request Form (INS­18 WordPerfect) (INS­18 MS Word)
  • Examination Score Report(s)

Broker (Individual)

  • Insurance License Application (INS­14 MS Word)
  • Two Fingerprint Cards
  • Examination Score Report(s)
  • Broker's Bond in the amount of $20,000. (INS­17) (For Surplus Lines Broker, also need Bond of $100,000 in favor of the people of the State)
  • Affiliation Request Form (INS18 WordPerfect) (INS­18 MS Word) if applicable

Viatical Settlement Broker (Individual)

  • Completed License Application (INS­14VSB)
  • Appointment Request Form, completed by each viatical settlement provider represented (INS­18VSB)
  • Affiliation Request Form (INS­18VSB) if applicable
  • Two Fingerprint Cards (a $49 Cashier's check, company check or money order payable to the Washington State Patrol Identification Section is required)
  • Test Score Reports or proof of qualification as a life agent
  • Pre­License Education Certificates, if applicable
  • License and Appointment Fees

Adjuster ­ Independent or Public (Individual)

  • Insurance License Application (INS­14 MS Word)
  • Affiliation Request Form (INS­18 MS Word)
  • Two Fingerprint Cards
  • Examination Score Report
  • Public Adjusters only ­ $5,000 Public Adjuster's Bond

Solicitor (Individual only)

  • Prelicense Education Certificates of Completion (for Life, Disability, Property, Casualty, Rules & Regulations)
  • Insurance License Application (INS­14MS Word) signed by employing Agent or Broker
  • Two Fingerprint Cards
  • Examination Score Report(s)

The following is a list of the forms which must be submitted for each type of license for a nonresident:

Agent (Individual)

  • Insurance License Application (INS­14MS Word)
  • Two Fingerprint Cards
  • Appointment and/or Affiliation Request Form (INS­18 MS Word)
  • Power of Attorney Form (INS­25 MS Word)
  • Letter of Certification from Resident State

Broker (Individual)

  • Insurance License Application (INS­14 MS Word)
  • Affiliation Request Form (INS­18 MS Word)) if applicable
  • Two Fingerprint Cards
  • Power of Attorney Form (INS­25 MS Word)
  • Letter of Certification from Resident State
  • Broker's Bond in the amount of $20,000

Adjuster ­ Independent or Public ­ Individual

  • Insurance License Application (INS­14 MS Word)
  • Affiliation Request Form (INS­18 MS Word) if applicable
  • Two Fingerprint Cards
  • Letter of Certification from Resident State

The information on this page is meant to provide a general overview of the law. The laws in your state and/or city may deviate significantly from those described here. If you have specific questions related to your situation you should speak with a local attorney.

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