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.
Business entities may update contact information including physical address(es), email address(es), phone number(s), name(s) and fax number(s). To complete this form you will need to provide your:
- Resident state license number,
- National Producer Number (NPN)
- FEIN
- Date of birth
Business Entities for the state(s) below may review the State-Specific Requirements by clicking the state below:
- Alabama
- Alaska
- Arizona
- Arkansas
- Connecticut
- Delaware
- District of Columbia
- Hawaii
- Idaho
- Illinois
- Iowa
- Kansas
- Kentucky
- Louisiana
- Maryland
- Massachusetts
- Missouri
- Montana
- Nebraska
- New Hampshire
- New Jersey
- New Mexico
- North Carolina
- North Dakota
- Oklahoma
- Oregon
- Puerto Rico
- Rhode Island
- South Carolina
- Tennessee
- US Virgin Islands
- Vermont
- West Virginia
- Wisconsin
All others 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.
Individuals may update personal information including physical address(es), email address(es), phone number(s), name(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 Requirements
NIPR is now offering electronic "Name Change" through the My NIPR application for the following states:
Please review the state specific requirements for any additional information. All others 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.