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For Producer/Adjusters > Letter of Certification or Clearance, Duplicate License or Change Address/Name
Resources Relating to Name/Address Changes, Letters of Clearance and Duplicate Licenses
 

Individuals name change requires proof from a governmental agency such as marriage/divorce decree, or similar document. Fax, e-mail, or mail to the Licensing Division. No fee is required and new license will not be sent.

Business Entity

  • Name change without FEIN change: Send request by letter, fax or email from officer or DRLP. No fee is required and new license will not be sent. New name should be registered with New Hampshire Department of State Corporate Division.
  • Changing FEIN: indicates a new or different legal entity. New application procedures apply.

Address Change (must be completed within 30 days of the change).

Effective January 1, 2012, any adjuster with a state to state residence change is no longer required to complete a new application and submit the amendment fee of $50. We do require the paper address change form and a $10 address change fee.

E Mail Update

Letter of Certification (certifies current standing)

Letter of Clearance (Proof of surrender of New Hampshire license)

  • Submit written request via letter with $10 fee, submit your license, and tell us where you would like the letter mailed

Duplicate License

Change Designated Producer

  • Per RSA 402-J:6 IIb b) The business entity has designated a licensed producer responsible for the business entity's compliance with the insurance laws, rules, and regulations of this state. Adobe Acrobat Reader SymbolCHANGE DESIGNATED PRODUCER

Surrender, Terminate or Cancel a License

Please Contact the Licensing Division With Any Questions.

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New Hampshire Insurance Department | 21 South Fruit Street, Suite 14 | Concord, NH 03301
Phone 603.271.2261 | Fax 603.271.1406 | Consumer Hotline 1.800.852.3416

Copyright © State of New Hampshire, 2007