State Requirements

Alaska / Contact Change Request / Individual

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  • Date calculations will use calendar days.

State Fee

  • Fee: $0.00

State Fee

  • Fee: $50.00
  • Fee Disclaimers: Submitted 31-90 days after move date

State Fee

  • Fee: $100.00
  • Fee Disclaimers: Submitted 91-150 days after move date

State Fee

  • Fee: $200.00
  • Fee Disclaimers: Submitted 150 days or more from the move date

Applicant Can

  • Submit contact change request for any license on NIPR's Producer Database (PDB)
  • Submit DHS contact change request (no resident state license on PDB)
  • Submit Email Changes
  • Submit Phone number Changes
  • Submit change to state code of residence address (Non-resident only)
  • Submit change to state code of business address (Non-resident only)
  • Submit change to state code of mailing address (Non-resident only)

Applicant Cannot

  • Submit change to state code of residence address (Resident only)
  • Submit change to state code of business address (Resident only)
  • Submit change to state code of mailing address (Resident only)

Business Rules

  • Non-Resident Licensee: Address must match respective resident/home state license address.
  • P.O. Boxes are allowed for mailing addresses.
  • P.O. Box is not allowed for:
    • Business or Residence addresses.
  • Alaska does not track counties.

Contact Information

Mailing Address

Alaska Division of Insurance
P.O. Box 110805
Juneau, AK 99811-0805
United States

Frequently Asked Questions

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

One Year

How do entities/individuals report changes to O/P/O/D - Owners, Officers, Partners, Directors?

Licensees can cancel their license by completing our cancellation form which can be located at: Request to Cancel License Form