State Requirements

If applicant has an Arizona resident license that is active or in the late renewal period (up to one year past license expiration date), applicant will be rejected from applying for Non-Resident License.

Applicant's name must match current PDB record, if applicable.

Applicant's addresses must match current PDB record, if applicable.

Employment history must show at least five (5) years and be listed in order from current employer back five (5) years with no gaps.

Applicant must provide either the Residence and/or Business address that is not in the state of Arizona.

Applicant must not have an active resident state license on PDB in any state.

Applicant cannot use No Home State application if the business and residence address is in a state that licenses adjusters (non-public adjuster). If one address is not in a state that offers adjuster licensing allow.

Applicant must be 18 years old or older as determined from the applicant's Date of Birth.

Exams are valid for one year and will be checked for the following LOA:

• Adjuster

P.O. Box or PMB (Private Mailbox) cannot be used for either residence or business address.

All instances of phone number must be a valid 10 digit phone number.

If applicant actively holds LOA of Limited to Resident Authority on PDB, application for Adjuster LOA will not be permitted.

If applicant actively holds Adjuster LOA, application for Portable Electronics Adjuster will not be permitted.

Applicants with a status reason of surrendered cannot reapply for one year from date of surrender. After one year applicant must reapply as new.

Applicant's Non-Resident (active or inactive) AZ license must not have the following status reasons:

• Suspended
• Revoked
• Deceased
• Refuse to Renew
• Military 
• Inactive- DIFI Staff
• Inactive- Relocation

If you intend to do business under a name other than your legal name (called an "assumed name" or "DBA name"), and did not already disclose this name on the DBA section of the application, complete and submit Form L-193 (Certificate of Assumed Business Name).

Protect your assumed name by registering it as a trade name with the Arizona Secretary of State. If you do not register a trade name, another person may register the name, which will force you to stop using the name.

If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax.