State of Oregon Seal Oregon Department of Consumer and Business Services Insurance Division
Welcome | Site Search | What's New
blue bar separator

Insurance Division

About the Division
Advisory Committees
Agent Information
Public Meetings
Company Information
Consumer Complaints
Consumer Information
Division Directory
Enforcement Actions
In the News
Laws, Rules & Bulletins
Links to Other Sites
Rates and Forms
Subject Index

Licensing Forms - Alphabetical

NOTE: Some of these links require Adobe Acrobat© Reader, available free.

Address Change Form: Word, PDF 1996
Affiliation of Agent, Adjuster, or Insurance Consultant: Word, PDF 2139
Business Entity Application:  Word, PDF
     (formerly Firm or Corporation Application)
Continuing Education Course Registration Renewal for Unchanged Curriculum 2294
Continuing Education Course Times & Location Notification 2172
Continuing Education Credit Registration Request 2160
Continuing Education Provider Registration 2162
Continuing-Education Credit for an Unregistered Course 2179
Continuing-Education Exemption Request 3634
Continuing-Education Proctor Certification 3128
Continuing-Education Proctor Registration 3127
Individual Insurance License Application: Word, PDF 3000
Insurance Experience Qualification Form 2492
Insurance Experience Request 2493
Life Settlement Broker Appointment/Affiliation Notice 3025
Life Settlement Broker Firm or Corporation Application:  Word, PDF 3010b
Life Settlement Broker Individual Application:  Word, PDF 3013
Pre-License Training School Registration 2161
Required fingerprint card  
Temporary Adjuster Permit Application 3901
Termination of Appointment Notice  3003
Third-Party Administrator Application: Word, PDF 2292
Uniform Applications
Individual Insurance Producer License: Word, PDF  
Business Entity Insurance License/Registration: Word, PDF  
Vehicle Rental Company Application: Word, PDF 2463


Return to Top

blue bar separator
DCBS Home Page | | Disclaimer of Liability

We'd like to hear from you.
Send comments, questions or suggestions to Oregon Insurance Division or call (503) 947-7980

This document was last revised on September 15, 2005 .