Submit contact change request for any license on NIPR's Producer Database (PDB)
Submit Email Changes
Submit Phone number Changes
Submit change to state code of residence address for non-residents only. Address must match respective resident/home state license address.
Submit change to state code of business address for non-residents only. Address must match respective resident/home state license address.
Submit change to state code of mailing address for non-residents only. Address must match respective resident/home state license address.
Submit DHS contact change request (no resident state license on PDB)
Submit change to state code of residence address for residents.
Submit change to state code of business address for residents.
Submit change to state code of mailing address for residents.
P.O. Boxes are allowed for mailing addresses.
Applicant's California license record must be active on PDB before completing a Contact Change Request (CCR) transaction.
Applicant must have a resident license on PDB to submit a CCR for California.
Resident applicants must maintain a resident or business address in California.
Non-Resident applicants' resident and business address cannot both be in the state of California.
Applicants holding a non-resident license in this state may not make changes to the state of an address from what is on file, as this may necessitate a change in resident status. Contact the state department of insurance to make such changes.
Submitted residence address must match residence address for resident/home state license or a CCR for resident/home state license must be submitted concurrently.
Bail license and Adjuster (Public, Crop, and Independent) license address changes will need to be made directly with the California Department of Insurance and not via CRR application.
In order for this address to reflect on the Producer Database, you will need to submit a Change of Address form faxed or emailed to the state. If the business address is changing please note on the form: "Change of address for BLA & ABLA".
Clearance Letter: If another state requires that the licensee provide a letter of clearance, in California the licensee can submit a clearance letter request that will cancel the license when the clearance letter is issued.