Indiana / Contact Change Request / Individual

Fees

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

State Fee

Fee:

Rules and Regulations

Applicant Can

Submit contact change request for any license on NIPR's Producer Database (PDB).
Submit DHS contact change request (no resident state license on PDB).
Submit Email Changes.
Submit Phone number Changes.
Submit change to state code of business address for non-residents. Address must match respective resident/home state license address.
Submit change to state code of mailing address for non-residents. Address must match respective resident/home state license address.
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 residents. Individuals may change the state code only if the residence address state code is Indiana.
Submit change to state code of mailing address for residents.

Business Rules

P.O. Boxes are allowed for mailing addresses.
P.O. Boxes are not allowed for residence addresses.
Indiana Residents must maintain a residence or business address in Indiana (for individuals).
Indiana Residents must maintain a business address in Indiana (for Business entities).
Indiana Non-Resident applicant's business address must not be in the state of Indiana (for Business entities).
If the business address is in Indiana and the residence address is not in Indiana, then the business address cannot be a P.O. Box (for individuals).
For Indiana residents, the applicant cannot change the state code from Indiana to another state for the business address if the residence address state code is not Indiana.
Applicant's Indiana license record may be in any status on PDB for a contact change request (CCR) transaction to be submitted.

Special Instructions

Helpful Links:
Surplus Lines Monthly Affidavits
Semi-Annual Premium Tax Filing

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.