State Requirements

Georgia / Contact Change Request / Individual

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State Fee

  • Fee: $0.00

NIPR Fee

  • Fee: $0.00

Applicant Can

  • 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.

Applicant Cannot

  • Submit DHS contact change request (no resident state license on PDB)

Business Rules

  • 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.

 

Contact Information

Address

704 West Tower
2 Martin Luther King Jr Drive
Atlanta , GA 30334
United States

Mailing Address

704 West Tower
2 Martin Luther King Jr Drive
Atlanta , GA 30334
United States

Special Instructions

All Required documents must be submitted electronically via NIPR's Attachments Warehouse.

The Citizenship Affidavit Form and a copy of one secure and verifiable identification document must be uploaded via NIPR's Attachments Warehouse.

Frequently Asked Questions

Online printing information can be found by going to NIPR's license print page and selecting the state.

If changing from GA Resident to nonresident or nonresident to Resident of GA - applicant must apply accordingly for the appropriate license.

One Year

Enroll online at Pearsonvue.com/ga/license

Complete Addendum 1 of the Agency Application: Agencies Forms and email to Agencyaffil@psionline.com.

Licensee must submit a signed statement and email to pvgainsurance@pearson.com