Georgia / Contact Change Request / Individual

Fees

Fee:

Submit contact change request for any license on NIPR's Producer Database (PDB).
Tracks counties.
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 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 only.
Applicant's Georgia license record must be active on PDB before completing a Contact Change Request (CCR) transaction.
Resident applicants must maintain a residence or business address in Georgia.
Non-Resident applicants must not have both the resident and business address in Georgia.
Applicants holding a non-resident license 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.
This state requires that county information be provided if the producer holds a resident license in the state. If the county in which the address belongs in unknown, please contact the state department of insurance.