FORMS TO UPDATE YOUR LICENSE

All licensing update requests listed below must be submitted through the online forms or through NIPR, where applicable. Email submissions are no longer required.

LETTER OF CERTIFICATION 

Use this link to access the State Based Systems (SBS) licensee portal to obtain proof of your Connecticut license standing.

Applicants may enter their information and view or print their Letter of Certification directly through SBS.

ADDRESS CHANGE 

You may update your address online through the National Insurance Producer Registry (NIPR)

  • Proceed to the online application
  • Select Product Type "Contact Change Request (Change Address, Phone, Email)."

Note: You cannot use this online process if you are changing your resident state or if any part of your address change involves a change in state.

If your change involves Connecticut residency to or from, use the Residency Change Request online form.

If submission through NIPR is not available, complete the Address Change Request online form.

DESIGNATED HOME STATE (DHS) 

Use the online DHS form if you are:

  • Requesting Connecticut as your Designated Home State (DHS)
  • Changing your DHS from Connecticut to another state
  • Changing from one non-resident DHS to another non-resident DHS
  • Removing DHS designation entirely

NAME CHANGE 

You may update your name online through NIPR

  1. Proceed to the online application.
  2. Select Product Type “Demographic Update.”

DESIGNATED RESPONSIBLE LICENSED PERSON (DRLP) 

Use the online form to add, remove, or update a Designated Responsible Licensed Person (DRLP) for a business entity license.

DOING BUSINESS AS (DBA) 

Use the online form to add, update, or remove a Doing Business As (DBA) name.

LETTER OF CLEARANCE REQUEST 

Use this online form if you are a former Connecticut resident producer applying for a resident license in another state.

LINE OF AUTHORITY (LOA)REMOVAL REQUEST 

Use this online form to remove lines of authority from a Producer or Fraternal Agent license only.

To cancel the entire license, submit the Voluntary Surrender online form.

RESIDENCY CHANGE REQUEST 

Use this online form only when moving into or out of Connecticut residency.

VOLUNTARY SURRENDER REQUEST 

Use this online form to voluntarily cancel your license.