Forms
The mission of the New Hampshire Insurance Department is to promote and protect the public good by ensuring the existence of a safe and competitive insurance marketplace through the development and enforcement of the insurance laws of the State of New Hampshire.
Resources Relating to Name/Address Changes, Letters of Clearance and Duplicate Licenses
Name Change
- Individuals - Name change requires proof from a governmental agency such as marriage/divorce decree, or similar document. No fee is required and new license will not be sent.
- Business Entity - Name change without FEIN change: No fee is required and new license will not be sent. New name should be registered with New Hampshire Department of State Corporate Division. Changing FEIN: indicates a new or different legal entity. New application procedures apply.
Address Change
Must be completed within 30 days of the change.
Address changes for Resident & Non-resident Producer and Adjusters can be filed electronically without a fee using the National Insurance Producer Registry. Effective September 2021, business entities can update addresses electronically via www.nipr.com.
Changing domicile state can be performed online at NIPR. The previous domicile/home state resident license must be inactive or must already be updated to show as a non-resident. One cannot hold two active resident licenses at the same time.
Business Entities or individuals requiring manual change. Print the Address Change Form and mail it to the Licensing Division.
E-Mail Update
Letter of Certification (certifies current standing)
No fee as of 07/19/16
- Obtain a Letter of certification online from the License Verification Look-Up Service
- Send request via email to [email protected]
Letter of Clearance
(Proof of surrender of New Hampshire license)
- Clearance letter request no fee as of 07/19/16
- Please check with your new home state to make sure they actually want a clearance letter. Most states refer to PDB.
Duplicate License
Change Adjuster Designated Home State
Change Designated Producer
- Per RSA 402-J:6 IIb b), The business entity has designated a licensed producer responsible for the business entity's compliance with the insurance laws, rules, and regulations of this state.
- CHANGE DESIGNATED PRODUCER FORM
- Line of Authority Removal
Surrender, Terminate or Cancel a License
Please Contact the Licensing Division With Any Questions.