California / Contact Change Request / Individual

Fees

Fees shown are state fees only. These fees do not include NIPR transaction fees.

State Fee: $0

Rules and Regulations

Applicant Can

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 mailing address for non-residents only. Address must match respective resident/home state license address.

Applicant Cannot

Submit DHS contact change request (no resident state license on PDB).
Track counties.
Submit change to state code of residence address for residents or non-resident.
Submit change to state code of business address for residents or non-resident.

Business Rules

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".
If the address needs to only reflect in the department's database you may use the state's online address change service.

Special Instructions

For Non-Residents License applicants only:
Live Scan Request Form (BCIA 8016)

Apply for a License:
NIPR or Sircon

Helpful Links:
Address Changes
Business Entity Online Application Service

License Printing Fees:
After your license has been issued, you may obtain a copy of your license through Sircon, the state's license printing vendor.
Please note that Sircon charges a fee to obtain or print a copy of your license.

Important: This fee is charged and collected by Sircon, not NIPR. NIPR does not receive this fee and cannot modify or waive it. If you have questions about obtaining a copy of your license or the associated fee, please contact Sircon directly.