Pennsylvania / 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 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.

Applicant Cannot

Submit DHS contact change request (no resident state license on PDB).
Tracks counties.
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.

Business Rules

P.O. Box allowed for mailing addresses.
P.O. Box not allowed for business and residence addresses.
Applicant’s Pennsylvania license record must be in active status on PDB.

Special Instructions

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.