Applicant must provide both a valid business and personal email address.
At least one (1) Designated Responsible Licensed Producer (DRLP) must be listed on the application and have an active resident or non-resident license in Wyoming.
DRLP for Specialty Travel applicants must hold an active Wyoming Producer or Specialty Limited Line Producer License and have an active resident or non-resident license in Wyoming (No LOA requirement.).
DRLP for Crop applicants must hold an active Wyoming Producer or Limited Lines Producer License (resident or non-resident) with a Crop or Property line of authority.
License classes with LOA(s) in status reason: “Failure to Renew – Reinstatable” will need to use renewal applications.
License classes with LOA(s) in status reason: “Expired” will need to contact the Wyoming Department of Insurance at email@example.com
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 email at: firstname.lastname@example.org.