Licensing

Required Materials
  • Application for Premium Service Company, Form 4501
    • Every question on the application must be answered.  Indicate "none" or "not applicable" if a question does not apply.
  • Articles of Incorporation or Certificate of Domestication
  • License fee of $1,000
  • Notice of Financing statement
  • Premium Service Company Bond, Form 4500
    • Under no circumstances will the $50,000 Security Bond or Certificate of Deposit requirement be waived.
The following items must be submitted in duplicate: