Illinois

Online printing information can be found by going to NIPR's license print page and selecting the state.

https://insurance.illinois.gov/producer/producerMain.html

Residency Changes

One Year

Pearson Vue (800) 274-0455
Candidate Handbook

• Mail in a signed request (including your NPN #) over your signature to:

  Illinois Department of Insurance
  Attn: Licensing Unit
  320 W Washington St
  Springfield, IL 62767

• Include one of the following proof of name change items with your request
  1. A copy of your marriage license
  2. A copy of your driver’s license, displaying your new name

Mail in a signed request (including entity license number) to:

Illinois Department of Insurance
Attn: Licensing Unit
320 W Washington St
Springfield, IL 62767

Supplemental Application SA 1

Changes to Owner’s Partners Officers and Directors do not need to be reported to the state.

NIPR's Contact Change Request State Requirements (Illinois)

Mail in a signed request (including entity license number) to:

Illinois Department of Insurance
Attn: Licensing Unit
320 W Washington St
Springfield, IL 62767

Mail in a signed request (including entity license number) to:

Illinois Department of Insurance
Attn: Licensing Unit
320 W Washington St
Springfield, IL 62767

Change Contact Information