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Texas Department of Insurance
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Agent / Adjuster Application Forms

Description File Format
Application for Texas resident insurance agent
Use this online application to apply for all license types except for: Life and health insurance counselor, Insurance service representative, full-time home office salaried employee, and risk manager. If you want to apply for these other license types, use the FIN506 listed below. Learn more about the license application process by going to our Agent and adjuster licensing > click on the license type you are interested in.
Electronic Non-resident Application
(Individual or Entity: Links to NIPR, at the Texas instruction page for the electronic application. That page is linked to a Use Agreement page. The "Agree" button links to the actual application.)
Licensing renewal application
Renew License Online
NIPR Electronic Address Change Request
(For in-state address changes, an agent or adjuster can use this tool to simultaneously provide an address change notification to all state insurance departments where the agent or adjuster is licensed. There is no charge for the service.)
Application for Individual Adjuster License Online

If the form is a fillable PDF, learn how to enable all fillable form features.

TDI Form Number Description File Format Language
FIN430 License Application for a Life Settlement Provider or Broker
Original application for licensure of a life settlement broker or provider, which includes checklists for filing requirements of the initial application
PDF English
FIN431 Application for Renewal, Surrender, or Change of Information for a Life Settlement Provider or Broker
Application for renewal of a broker or provider license or to report change of information of an existing life settlement broker or provider
PDF English
FIN432 Life Agent Notification to TDI to act as a Life Settlement Broker
Required for applicants who have held a resident Texas life or life and health license for at least one year
PDF English
FIN434 Biographical Affidavit for Life Settlement Providers or Brokers
Biographical affidavit. Must be completed by all individuals specified in the instructions of FIN430 and FIN431, as adopted by rule.
PDF English
FIN505 Licensing Corporate Insurance Agents Bond (aka Insurance Agency Bond)
Method of showing proof of financial responsibility to obtain corporate license
PDF English
FIN507 Application for insurance agency license
Use for county mutual, risk manager, funeral pre-arrangement life, life and health insurance counselor, and life insurance not exceeding $25,000. For other license types, apply online at
PDF English
FIN509 Public Insurance Adjuster Bond - Licensing
Certifies that the persons listed on the form are bound to the Texas Department of Insurance in the sum of $10,000 as specified at 28 Texas Administrative Code Section 19.705.
PDF English
FIN510 Licensing Application for Reinsurance Intermediary License
For individuals and entities to apply for a Reinsurance Intermediary License under the provisions of TIC, Chapter 4152.
PDF English
FIN511 Licensing Reinsurance Intermediary Biographical Affidavit
To register individuals to be associated to a Reinsurance Intermediary License.
PDF English
FIN512 Licensing Reinsurance Intermediary Agent For Service of Process
Nonresident Reinsurance Intermediary License applicant or licensee must use this form to appoint a Texas resident on whom a notice or order or process may be served.
PDF English
FIN513 Licensing Reinsurance Intermediary Bond
Method of showing proof of financial responsibility for a Reinsurance intermediary License.
PDF English
FIN514 Specialty Insurance License Application
Specialty Insurance License Application (fka Li004,LHL207)
PDF English
FIN535 Public Insurance Adjuster Contract
This contract form is prescribed by the Texas Department of Insurance to satisfy contract requirements for Public Insurance Adjusters effective January 01, 2014.
PDF English
FIN594 Application for Residency Change to Texas
PDF English
FIN700 Appointment certification
PDF English

For more information, contact: