Change Contact Information
Submit licensee contact information changes - physical addresses, emails,
phone, or fax information via NIPR's Contact Change Request tool.
Already Familiar with the State's Requirements?
Select the button below to be forwarded directly to the initial, renewal, line of authority addition, or contact change request application.
Individuals may update personal information including physical address(es), email address(es), phone number(s), and fax number(s). To complete this form you will need to provide your:
Resident state license number, National Producer Number (NPN) Last four digits of SSN Date of birth Review State RequirementsBusiness Entities must notify states of a change directly. For state contact information and/or to review the states response to the frequently asked question related to entity address changes select the state below.