State Requirements

All applicants must be tax compliant and submit all required documentation to Guam BEFORE June 15 of each year. If documentation is not submitted timely, applicant’s renewal will be subject to delay. Please contact Guam Department of Revenue and Taxation directly for more information.

Applicants must renew Insurance Producer Life when renewing Insurance Producer Variable Life and Annuity.

Applicant must hold an active Broker license to be eligible to renew Surplus Lines Broker.

• RESIDENT INDIVIDUAL INSURANCE PRODUCER: 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
• RESIDENT ADJUSTER: 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
• RESIDENT INDIVIDUAL BROKER: 
  • Police Clearance from Guam Police Department. 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
  • Audited Financial Statement (unaudited financial statements must be signed by Accountant). 
  • Proof of Errors and Omission Coverage (for Life only). 
  • Bonafide place of business (If building owned, letterhead with address will suffice. If renting, current lease agreement is required). 
  • Proof of Trust Account – copy of bank trust account statement. 
  • Premium Fund Trust Account Report (PFTA) – must be notarized.  https://www.govguamdocs.com/revtax/docs/PremiumTrustFundAccountAffidavit.pdf 
• RESIDENT INDIVIDUAL SURPLUS LINE BROKER: 
  • Police Clearance from Guam Police Department. 
  • Form I-9 Tax Clearance - https://www.govguamdocs.com/revtax/docs/TAXCLEARANCEAPPLICATIONFORM.pdf 
  • Bonafide place of business (If building owned, letterhead with address will suffice.  If renting, current lease agreement is required). 
  • Surety Bond of $2,000 per additional DRLP. 
  • Proof of Trust Account if acting as DRLP or Reconciliation of Premium Trust Fund Account (PFTA) if applying as independent broker. 
  • Copy of audited financial statement of the company if acting as DRLP or Statement of Assets and Liabilities if applying as independent surplus lines broker.

Please submit supporting documents electronically via NIPR's Attachments Warehouse.

Application information will be reviewed and processed by Guam Department of Revenue and Taxation. Most applications will be processed within 7-10 business days. You may check the status of your application here: https://nipr.com/licensing-center. If your application is approved you may visit the following link to print your license: https://nipr.com/help/print-your-license. If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse.