Pennsylvania

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

One Year from the passing date

PSI- or (800-733-9267)

Services for Licensees

Name and Address Change Form for Business Entities

PA does not track the owners, officer, partners, directors, etc. of a business entity unless the individual is a DRLP.

Add/Remove Designated
Licensee Form

Name and Address Change Form for Individuals

Name and Address Change Form for Business Entities

Reapplication is required.  Please contact the state at 717-787-3840, option 3, or ra-in-producer@pa.gov for guidance on the change of home state process.

For resident individual producers who need to obtain a clearance letter or surrender their license for change of home state purposes, a clearance letter request form can be obtained here

For non-resident individual producers, the license may simply expire by disregarding the renewal invoice.  DO NOT submit a clearance letter request form, as it will be returned.

To cancel a line of authority, please contact the state at 717-787-3840, option 3, or ra-in-producer@pa.gov  for guidance.

Change Contact Information