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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
 

NAME CHANGE

  • Individuals - Name change requires proof from a governmental agency such as marriage/divorce decree, or similar document. No fee is required and new license will not be sent.
  • Business Entity- Name change without FEIN change: 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