Certificate of Authority Application Forms
The California Department of Insurance's (CDI) Certificate of Authority Application forms are now available in Adobe's Portable Document Format (PDF). The Word documents may be downloaded to your computer. To view and complete these pdf forms on your browser, you must have Adobe Acrobat Reader on your computer. A free copy of the Adobe Acrobat Reader can be downloaded from our Free Document Readers web page.
Additional forms may need to be added or revised periodically, so keep checking back. Please submit the completed forms to:
California Department of Insurance
Corporate Affairs Bureau
1901 Harrison Street, 6th Floor
Oakland, CA 94612
We also request, in addition to the two hard copies, that you submit an electronic copy of the application and supporting documents to [email protected]. Please note we do not accept password protected emails or links.
If you have any questions about our admission process, please contact the CDI's Corporate Affairs Bureau by emailing your questions to the Bureau's email address noted above, or by calling (415) 538-4035. We recommend you contact the CDI with any questions prior to submitting your application.
Certificate of Authority Application Checklist