Nebraska Department of Insurance

Nebraska Department of Insurance




DEPARTMENT FORMS

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PRODUCER (AGENT) LICENSING FORMS

Have questions concerning producer or agency licensing or continuing education matters?
Check our Frequently Asked Questions.


    Viatical Settlement Broker PDF icon
  • Includes the following:
    • Memorandum - Viatical Settlement Broker and Provider Licensing
    • Procedures to Obtain a Viatical Settlement Broker License
    • Declaration to Nebraska Department of Insurance for Viatical Settlement Agent or Broker
    • Individual Resident/Nonresident Producer and Viatical Settlement License Application
    Viatical Settlement Broker Entity PDF icon
  • Includes the following:
    • Memorandum - Viatical Settlement Broker and Provider Licensing
    • Declaration to Nebraska Department of Insurance for Viatical Settlement Agent or Broker
    • Viatical Settlement Broker Business Entity License Application
    Insurance Consultant's License
  • Includes the following:
    • Requirements and Procedures for Obtaining an Insurance Consultant's License - Resident and Nonresident


COMPANY APPLICATION/LICENSING FORMS

    Purchasing Group-Notice and Registration Form PDF icon
  • Includes the following:
    • Memorandum - Requirements Under Liability Risk Retention Act of 1986 and Nebraska Risk Retention Act
    • Uniform Registration Form - Purchasing Group-Notice and Registration






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