Alabama Department of Insurance

Application(s) should be mailed to the address shown on the application(s). Failure to do so will result in a delay in processing.

Adjuster

• Residents MUST apply online. Click Here.
• Non-Resident Licensing Process - Click Here
• Request for Address Change - Form AL-A
• Designated Home State Request/Change Form
• Registration for Emergency Adjusters - (Form AL-EAD1)
  
  • Attachment to Form AL-EAD1 - (Form AL-EAD2)
• Change of Designated Adjuster
• Request to Cancel or Surrender a Line of Authority (ADJUSTERS ONLY)

Business Entity

• Online Resident Business Entity Application
• Online Non-Resident Business Entity Application
• Change of Designated Producer - Form AL-DP-1
• Business Entity Renewal (ONLY if you are not allowed to renew online)
• Name Approval Form

Continuing Education Providers

• Apply Online. Click Here.

Long Term Care

• LTC Medicaid Certification Form

Managing General Agent

• Managing General Agent Appointment - Form AL-MGA-1
• Managing General Agent's Contract - Form AL-MGA-2
• Managing General Agent (MGA) Termination - Form AL-MGA-3
• Managing General Agent (MGA) Certification - Form AL-MGA-4

Miscellaneous Forms

• Request for Address Change - Form AL-A (State to State Only)
• Request for Name Change
• Request for Letter of Clearance
• Request to Cancel or Surrender License
• Temporary Disclosure Form (Effective 3/1/2012)
• Request to Cancel or Surrender a Line of Authority

Portable Electronics

• Change of Designated Person

Producer

• Online Individual Non-Resident Application
• Online Individual Resident Application

Reinsurance Intermediary

• Reinsurance Intermediary License Application - Form AL-RI-1

Surplus Line Broker

• Apply Online. Click Here.
• Surplus Line Broker Bond - Form AL-SLB-13

Bond mailed to:
Alabama Department of Insurance
PO Box 303351
Montgomery, AL 36130-3351

• Change of Designated Surplus Line Broker
• Name Approval Form

Title Agents/Agencies

• Title Insurance Act
• Change of Designated Title Agent
• Name Approval Form