Applicants with a status reason of revoked or suspended should not be allowed to apply electronically.
Applicant applying for Surplus Lines Producer must have active insurance producer property and casualty license.
At least one (1) Designated Responsible Licensed Producer (DRLP) must be provided on the application and have an active resident or non-resident license in New Hampshire.
The DRLPs provided must cumulatively cover the lines of authority (LOAs) on the application.
If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax. The following documentation must be submitted thirty (30) days after submitting application or the application will be declined:
- a written statement explaining the circumstances
- a copy of the official document which demonstrates the resolution of the charges or any final judgment
Please include name, SSN/FEIN, and NIPR Transaction Number on correspondence.