Portable Electronics Adjuster License Application: Business Entity

The following are requirements for a business entity applying to become a portable electronics adjuster. The requirements apply to both, businesses that have the principal business address within Arizona (resident) and businesses that have the principal business address in another state (nonresidents), except as otherwise noted:

NOT EVERYONE QUALIFIES FOR AN INSURANCE LICENSE

The Department can deny a license for any cause listed in Arizona Revised Statutes ("ARS") § 20-295. You should review this statute before deciding to spend the time, effort and money (fees are nonrefundable) to apply for a license. If you apply for a license, you must truthfully and completely answer questions asked on the application, and you may need to provide additional documentation.

SUBMIT A LICENSE APPLICATION

Submit your license application: You can either apply online through the National Insurance Producer Registry (NIPR) or you can submit a paper application available at the bottom of this page.  NIPR online applications are almost always processed more quickly than applications submitted on paper. 

PAY REQUIRED (NON-REFUNDABLE) FEES

Non-refundable fees:
LICENSE FEE
$120.00
  • You can pay with a credit card if you submit your application online through the National Insurance Producer Registry (the fastest and easiest way to complete your licensing transaction).
  • You can pay by check or money order, made payable to "Insurance Licensing Section" if you send or deliver your payment with your license application and other required materials to the Department of Insurance.

AFTER WE HAVE REVIEWED YOUR APPLICATION...

We will review your application and you will receive one of the following:

  • A notice telling you that your application was approved.  Use License Search to view your license on our web site to ensure that your license information appears correctly.  Use the National Insurance Producer Registry (NIPR) to correct or update information.
  • A notice telling you that your renewal application was denied.  The notice will tell you the reason for the denial and will provide you with instructions concerning your right to appeal the decision.
  • A notice telling you that your renewal application was deficient.  This notice will be emailed to you.  You must provide the Department with any additional materials identified in the deficiency notice or accompanying instructions.  You must cure all identified deficiencies or we may deny your license and you will forfeit the fees you paid.
NOTE:  We do not produce paper license certificates.  Licenses are accessible online through the LICENSE SEARCH option on our web site's main menu.

VIEW YOUR LICENSE

Your license will be available from the License Search option on this web site as soon as the Arizona Department of Insurance verifies you meet all license requirements.  You will not receive a printed license certificate. 

License applications can take up to one month to process.  You must not conduct insurance business until you are licensed.

FORM L-193: CERTIFICATE OF ASSUMED NAME

Use this form for each name, other than your genuine legal name, that you intend to use in conjunction with your insurance business.  If you have established a business entity and want to use the name of the business entity in conjunction with your insurance transactions, the business entity must also hold an insurance license. 

Portable Electronics Adjuster License Application: Business Entity