Fill out all the required fields.

Indicator Definition
1 Last Name – Enter the applicant's last name.
2 License State – Select a state where you currently hold a license .
3 License Number – Provide your License Number. For instructions on how to find it, refer to the notes below.
4 SSN – Enter your Social Security Number (not required if NPN is provided).
5 National Producer Number – Enter your NPN (not required if SSN is provided).

Note: To look up your National Producer Number, click on its link (indicator 5 on the image above) and the NPN Search window will open:

Click to continue.


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