The California Department of Insurance has created an Individual Short Form 44117 application
. The Short Form has only two pages for the applicant to complete in order to add another license type to his or her license. A life agent, for example, would complete only a twopage application to add a fire and casualty license type to his or her license instead of having to complete the six page Individual Application. It is no longer necessary for the licensee to provide the background information that the Individual Application (Form 4419)
requires each time the licensee adds a new license type to his or her license.
This new twopage Short Form provides an easier application process for current licensees to add the following license types:
- Life Agent
- Fire & Casualty BrokerAgent
- Personal Lines BrokerAgent
- Surplus Lines Broker
- Special Lines` Surplus Line Broker.
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