Forms & Instructions

Agency Affiliations & Terminations  

• User Guide    

Assumed Business Name    

• Paper Filing

Business Entity

• Name Change Instructions

License Renewal      

• Renewal Fees
• Request for waiver of late renewal penalty Form

License Surrender

• Form

Managing General Agent

• Instructions
• License Application
• Company Appointment
• Termination of Company Appointment
• Bond
• Contract

Motor Club

• License Instructions & Filing  Paper   

Name Change

• Individual Licensee Name Change  Form & Instructions

Producer  (includes Adjuster, Consultant and Surplus Lines)

• Testing & License  Handbook
• Adjuster Affidavit Form
• Criminal Background Check Electronic Form (INA) 
• Moving to Arkansas (Change from Non-resident to Resident)  Form
• Emergency Temporary License Instructions

Regulatory Health Link (IPA Guide, Navigator, Certified Application Counselor, Exchange Producer)

• Additional Information on Insurance Department RHL Division

Reinsurance Intermediary

• Broker Checklist  Paper   
• Manager Checklist  Paper   

Rental Car

• Company Application Form

Surplus Lines Business Entity

• Broker/Producer Bond Form
• Filing forms and instructions (NAIC)

Third Party Administator

• Registration Instructions & Application
• Bond

Title Agency

• License Fee $250, Late Fee $100, Total if late $350

Title

• Summary of fees
• New agent  Instructions
• Agent Affidavit
• Agent replacement renewal (ARF) Form
• New agency Instructions
• Agency replacement renewal Form
• Agency Addition & Termination  Instructions
• Producer addition Form
• Producer termination Form
• Continuing Education  Courses & Providers (SBS)