Registration and Renewal Of Preneed Sales Agents

Preneed sales agents are registered through holders of Preneed Certificates of Authority (certificate holders). Only an authorized signer of a certificate holder may register, terminate, or renew preneed sales agents.

Each person selling preneed merchandise and services and/or cemetery merchandise and services must be registered. A certificate holder must have at least one registered preneed sales agent. The certificate holder and preneed sales agent applicant must complete their respective part of Form No. AL-PNS-4 (01/2016). Click HERE to download the form. The completed form along with the $33.00 registration fee, should be mailed to:

Alabama Department of Insurance
Accounting Division
P. O. Box 303351
Montgomery, AL 36130-3351

Also, upload Proof of Citizenship in accordance with the Beason-Hammon Act for further details regarding the Beason-Hammon Alabama Taxpayer and Citizen Protection Act or to submit evidence online, visit:

Preneed Sales Agent Appointment Cancellation Form

A certificate holder who has registered a preneed sales agent must notify the Department in writing within 30 days after the individual’s status as preneed sales agent has been terminated. The notice can be faxed to: (334) 240-3282, e-mailed to or mailed to the above address. Include the certificate holder’s company name, certificate of authority number, the name of the PSA being terminated, and his/her license number in the notification.

Renewal of Preneed Sales Agents Registrations must be processed electronically through the National Producer Registry (NIPR). Electronic Processing through NIPR is mandatory. Click here for instructions on how to renew online through NIPR.

If an active agent does not appear on the renewal invoice, contact the Producer Licensing Division at (334) 241-4197.