The Arizona Surplus Lines Broker license is the credential that lets you place insurance with non-admitted carriers for clients whose home state is Arizona, and you apply for it through the NIPR Resident Licensing application reviewed by the Arizona Department of Insurance and Financial Institutions (DIFI). Under ARS § 20-411, only a person who already holds an active resident Property or Casualty producer license, and who passes the surplus lines exam, may hold this license.
Getting one field wrong can stall your file. Once DIFI receives your application, you have just 60 days to cure any deficiency, or the application is administratively withdrawn and your fee is forfeited, even though the Department clears most applications within 30 days. This guide walks you through every screen and box, line by line.
Here is what you will learn:
- 📝 How to fill out each section of the NIPR Surplus Lines Broker application without triggering an “administratively deficient” status.
- 💵 The exact fees you owe ($1,000 or $500), why the amount changes, and how to avoid a forfeited payment.
- 🔍 How to answer the background questions and upload the right documents through the Attachments Warehouse.
- 🏢 The extra steps a business entity (agency) must complete, including naming a Designated Responsible Licensed Producer.
- ⚠️ The most common mistakes filers make on this form and the direct consequence of each one.
What the Arizona Surplus Lines Broker License Is and Who Must File It
A surplus lines broker places coverage with non-admitted (surplus lines) insurers when the standard, admitted market will not write a risk. ARS § 20-411 states that no person may act as a surplus lines broker for an insured whose home state is Arizona unless that person holds a current surplus lines broker license issued by the Director of DIFI. The license is not a stand-alone credential; it sits on top of an existing resident insurance producer license.
You must file this application if you intend to procure insurance from carriers that are not authorized in Arizona. The statute requires that any individual applicant first be licensed as a resident insurance producer authorized for Property or Casualty insurance, and that the Director find the producer competent. It also requires that at least one individual in each office where surplus lines business is transacted hold both a Property or Casualty producer license and a surplus lines broker license.
The agency that receives and grades your application is DIFI, the merged successor to the former Arizona Department of Insurance. The statute that requires the license is Title 20 of the Arizona Revised Statutes, the deadline that governs your file is the 60-day cure window, and the penalty for non-compliance is acting without a license, which exposes you to fines and license denial under ARS § 20-295. Each piece connects: the statute creates the duty, DIFI enforces it, and the Surplus Line Association of Arizona collects the filings and the 3.0% premium tax once you are licensed.
Business entities can hold the license too. Under subsection D of the statute, DIFI may license a business entity that holds a resident Property or Casualty producer license and meets the requirements of ARS § 20-285. That entity must name a Designated Responsible Licensed Producer, explained later in this guide.
Before You Start: Documents and Information You Need
Gather everything before you open the NIPR application, because the system times out and a missing item can push you into “administratively deficient” status. Arizona does not require pre-license education, but it does require a passing exam score and an active producer license on the Producer Database (PDB). Use this pre-filing checklist.
- Active Arizona resident Property or Casualty producer license. Without an active P or C line of authority on the PDB, NIPR will block your submission, because the NIPR business rules require it.
- Passing score on the Series 13 Surplus Lines exam. NIPR verifies your exam result before it lets you submit, so an unscheduled or failed exam stops the file cold.
- Your National Producer Number (NPN). This ties your new authority to your existing producer record; a wrong NPN attaches the license to the wrong person.
- Social Security number and date of birth. DIFI cross-checks identity, and a mismatch with SSA records triggers a processing hold.
- A physical residence and business address. A P.O. Box or PMB is not accepted for either field, so a box address causes a rejection.
- Your DPS fingerprint registration number. This number starts with the letter A and appears at the bottom of your DPS Fieldprint receipt; without it the background check cannot post.
- Background documents (only if you answer “yes”). Court records, plea agreements, and a signed statement are needed for any disclosed event, or the file stalls pending review.
- Payment method for the state fee. You owe $1,000 or $500 depending on time left on your producer license, plus NIPR transaction fees, and an unpaid fee means no submission.
- Form L-193 (only if using a DBA). If you will do business under an assumed name, the Certificate of Assumed Business Name must be filed, or your marketing name is non-compliant.
Having each item ready means you can finish the application in one sitting and avoid the costly 60-day cure clock.
Where to Get the Form and How to Access It
Arizona does not use a paper application for this license. Every surplus lines broker application is filed electronically through the NIPR Resident Licensing (RL) application, and DIFI directs all applicants to NIPR.com for new licenses, amendments, and renewals. There is no PDF form to download for the core application itself.
Start by confirming your exam is scheduled with PSI, Arizona’s testing vendor, because NIPR checks the exam result before submission. Then go to NIPR.com, choose the Apply for a License path, and select Arizona as the resident state and the Surplus Lines Broker license class. The system pulls your existing producer record from the PDB to confirm you hold the Property or Casualty line of authority.
A few supporting documents do exist as separate forms. Form L-193 covers an assumed business name, and the “Short Form Application for Written Consent” under 18 U.S.C. § 1033 is required only if you were convicted of a felony involving dishonesty or breach of trust. You upload these through NIPR’s Attachments Warehouse, not by separate mail, in most cases.
Keep your NIPR transaction number after you submit. It is your proof of filing and the reference number DIFI uses if it emails you about a deficiency. Print or screenshot the confirmation page before you close the browser.
Step-by-Step: How to Fill Out the Arizona Surplus Lines Broker Application Line by Line
The NIPR Resident Licensing application is organized into screens rather than printed boxes, so this walkthrough follows the application in the order the screens appear. Use the exact field labels NIPR displays. Each subsection below covers one field or screen.
Step 1: Resident State and License Class
The first screen asks which state you are applying in and which license class you want. Select Arizona as your resident state and Surplus Lines Broker as the license class. Do not pick “Insurance Producer” here, because that is a different application path.
Choose the class from the dropdown exactly as written. For example, Maria Lopez, a Phoenix producer, selects Arizona and Surplus Lines Broker and leaves the non-resident options untouched. If you also see Mexican Ins Surplus Lines, note that this is an exam-exempt limited line and not the same as the full Surplus Lines Broker authority.
A common edge case is the applicant who tries to apply before holding an active producer license. NIPR will not let you submit, because its business rules require an active Property or Casualty line of authority on the PDB first. The most common mistake here is selecting the wrong license class, which routes you into the wrong fee and the wrong exam check and forces you to start over. A frequent misconception is that surplus lines is a “producer add-on you pick later”; in Arizona it is its own license class you select on this first screen.
Step 2: Personal Information (Name, SSN, Date of Birth)
This screen asks for your full legal name, Social Security number, and date of birth. Enter your name exactly as it appears on your existing producer license and your Social Security card, because DIFI cross-checks identity against the PDB and SSA records. Format your date of birth as the system prompts, usually MM/DD/YYYY.
For example, Maria Lopez types her name as it reads on her producer record, her SSN with no dashes if the field strips them, and 03/14/1985 as her date of birth. You must be at least 18 years old, which the system confirms from the date of birth you enter.
A nuance arises if you recently changed your name. If your married or legal name differs from your producer record, update the producer record first or your surplus lines authority may attach to a mismatched profile. The most common mistake is a typo in the SSN, which triggers an identity hold and delays the file past the normal 30-day window. A common misconception is that a nickname or shortened first name is fine; it is not, because the name must match your legal records exactly.
Step 3: Residence and Business Address
This screen asks for your home (residence) address and your business address. Enter a physical street address for both, because Arizona’s NIPR business rules prohibit a P.O. Box or PMB for either field. Use the standard format with street, city, state, and ZIP.
For example, David Chen, a Scottsdale producer, enters his office street address as his business address and his apartment address as his residence. He does not list his mailbox service, even though that is where he collects mail.
The edge case many filers hit is working from home with only a P.O. Box for deliveries; you still must enter a physical residence address, and you can note the mailing box elsewhere if asked. The most common mistake is entering a P.O. Box, which causes an automatic rejection of the address field and a deficiency notice. A common misconception is that a private mailbox at a UPS Store counts as a street address because it has a suite number; DIFI treats it as a PMB and rejects it.
Step 4: Contact Information (Phone and Email)
This screen collects your phone number and email address. Enter a valid 10-digit phone number, since NIPR requires exactly ten digits, and extensions are allowed if you have one. Use an email you check daily, because DIFI sends deficiency notices by email.
For example, David Chen enters (480) 555-0182 and his work email. He uses an address he monitors, not an old account, so he will see any DIFI message during the 60-day cure window.
A nuance applies to applicants who share an agency inbox. If several people use one email, make sure someone watches it, or a deficiency notice can be missed. The most common mistake is entering an outdated email, which means you never see the cure request and your fee is forfeited after 60 days. A common misconception is that DIFI mails paper notices; it relies on email and the NIPR transaction record, so the email field is critical.
Step 5: Producer License and Line of Authority Verification
This screen confirms your existing producer license and the Property or Casualty line of authority that qualifies you. NIPR pulls your record from the PDB and checks that you actively hold a Property and/or Casualty LOA. You cannot add surplus lines without this base license.
For example, Maria Lopez holds an active Property and Casualty producer license, so the system confirms her LOAs and lets her continue. David Chen holds only a Property LOA, which still qualifies, because the statute allows Property or Casualty.
The edge case is the applicant whose producer license is in late-renewal status. If your Arizona license is eligible for late renewal, NIPR will not permit a new license class or LOA, so you must renew first. The most common mistake is applying while the producer license is lapsed, suspended, or surrendered, which blocks the entire file. A common misconception is that a Life or Health license qualifies you; only Property or Casualty authority satisfies ARS § 20-411.
Step 6: Surplus Lines Exam Verification
This screen confirms you passed the Surplus Lines Broker examination. NIPR verifies your exam result before it allows submission, so your passing score for the Series 13 Arizona Surplus Lines exam must already be posted. There is no waiver for experience or designations.
For example, Maria Lopez sat the Series 13 exam with PSI two weeks earlier, passed, and her score is on file, so the screen clears. She did not rely on her 15 years of experience, because Arizona law makes no exception for it.
A nuance covers applicants renewing who never tested. Under the statute, an applicant for an original or renewal license who has not previously passed the Arizona surplus lines exam must take and pass it. The most common mistake is starting the application before the exam result posts, which produces a verification failure. A common misconception is that passing the producer exam covers surplus lines; it does not, because surplus lines requires its own separate exam.
Step 7: Designated Responsible Licensed Producer (Business Entities Only)
If you apply as a business entity, this screen asks you to name your Designated Responsible Licensed Producer (DRLP). Enter exactly one individual who holds both a Property or Casualty producer license and a surplus lines broker license. This person is legally responsible for the entity’s compliance.
For example, Desert Risk Partners LLC names Maria Lopez as its DRLP, since she holds both required licenses. The agency lists her NPN and confirms she works in the office where surplus lines business is transacted.
The edge case is a multi-office agency. The statute requires at least one licensed individual in each office where surplus lines is transacted, so a firm with three offices needs qualified producers across all three. The most common mistake is naming a DRLP who lacks the surplus lines license, which makes the entity application deficient. A common misconception is that any officer can serve as DRLP; only a person holding the underlying producer and surplus lines authority qualifies.
Step 8: Background Questions
This screen presents a series of yes-or-no background questions about criminal history, administrative actions, and financial matters. Answer each one truthfully and completely, because Arizona can deny a license for any cause in ARS § 20-295, and a false answer is itself grounds for denial. Most of your application becomes public record, except confidential items like your SSN and birth date.
For example, Robert Hayes, a producer with a ten-year-old misdemeanor, answers yes to the criminal-history question rather than hiding it. He knows the disclosure starts a document upload, not an automatic denial.
The nuance is the difference between a sealed record and a disclosable one; when unsure, disclose, because the duty to report is broad. The most common mistake is answering no to avoid scrutiny, which converts a survivable disclosure into a misrepresentation and a near-certain denial. A common misconception is that old or expunged matters never need disclosure; many still do, so read each question carefully before clicking no.
Step 9: Background Supporting Documents and Section 1033 Consent
If you answered yes to any background question, this step requires uploading supporting documents through the Attachments Warehouse. Select the “Background Questions Supporting Documents” option and submit a signed statement plus the court records for each matter. The signed statement must describe every incident in detail.
Your statement must list the names of everyone involved, the dates and locations, the courts or agencies involved, the disposition of each matter, and whether it was a felony, misdemeanor, or open charge. Robert Hayes uploads his signed statement, the complaint, the plea agreement, and the sentencing order for his misdemeanor.
A critical edge case triggers the Section 1033 consent form. If you were convicted of a felony involving dishonesty or breach of trust, or convicted of violating 18 U.S.C. § 1033, you must also file the “Short Form Application for Written Consent” before you can work in insurance. The most common mistake is uploading incomplete court records, which freezes the file pending the missing disposition. A common misconception is that a brief note is enough; DIFI wants the full signed statement and every charging and disposition document.
Step 10: Fingerprint Registration (DPS Number)
This screen asks for your DPS fingerprint registration number. Submit your fingerprints electronically through the Arizona DPS Public Services Portal and Fieldprint, then enter the registration number on the NIPR application. The number begins with A followed by digits and appears at the bottom of your DPS receipt.
For example, Maria Lopez completes her Fieldprint appointment, receives a receipt, and enters her A-prefixed number into the field. She does not skip this, because the background check cannot post without it.
The nuance is timing: schedule fingerprints early, since results take time to flow to DIFI. The most common mistake is entering a wrong or transposed DPS number, which prevents the background results from matching your file. A common misconception is that fingerprints from a prior employer or another state carry over; Arizona requires its own DPS submission for resident insurance professionals.
Step 11: Assumed Name / DBA Disclosure
This screen asks whether you will do business under a name other than your legal name. If yes, disclose the DBA here, and if you did not disclose it on this screen, file Form L-193 (Certificate of Assumed Business Name). Arizona requires this for any name other than your genuine name used under an insurance license.
For example, David Chen markets as “Sonoran Surplus Solutions,” so he enters that name in the DBA section. He also plans to register it as a trade name with the Arizona Secretary of State to protect it.
The nuance is trade-name protection: if you do not register the trade name with the Arizona Secretary of State, someone else can claim it and force you to stop using it. The most common mistake is marketing under a DBA you never disclosed, which is a compliance violation. A common misconception is that registering a trade name with the Secretary of State satisfies DIFI; it does not, because DIFI requires the L-193 disclosure separately.
Step 12: Attestation, Signature, and Payment
The final screen has you attest that your answers are true, sign electronically, and pay the state fee. Read the attestation carefully, because your electronic signature certifies every answer under penalty of denial. Then pay the surplus lines broker fee plus NIPR’s transaction fee.
The fee is $1,000 if two years or more remain on your producer license, or $500 if less than two years remain, per the NIPR Arizona fee schedule. Maria Lopez, with three years left on her producer license, pays $1,000. David Chen, with 18 months left, pays $500.
The nuance is that fees are non-refundable; if you apply for a class or LOA you do not qualify for, DIFI cannot refund the money under ARS § 20-167. The most common mistake is rushing the attestation and submitting with an error you cannot fix without re-filing. A common misconception is that the fee is fully refundable if denied; it is not, so confirm every field before you pay.
Three Filled-Out Examples Using Real Scenarios
These three scenarios follow named filers through the application from start to finish. Each table shows what the filer enters in the key sections.
Scenario 1: Maria Lopez, Individual Producer Adding Surplus Lines
Maria is a Phoenix producer with an active Property and Casualty license and three years left on her term.
| Form Section | What Maria Enters |
|---|---|
| Resident State and License Class | Arizona; Surplus Lines Broker |
| Full Legal Name | Maria Lopez (matches producer record) |
| Date of Birth | 03/14/1985 |
| Residence Address | Physical street address in Phoenix, no P.O. Box |
| Producer LOA Verification | Active Property and Casualty confirmed on PDB |
| Exam Verification | Series 13 passed, score on file |
| Background Questions | No to all questions |
| DPS Fingerprint Number | A-prefixed number from Fieldprint receipt |
| Fee Paid | $1,000 (two-plus years left on license) |
Scenario 2: Desert Risk Partners LLC, Business Entity Application
Desert Risk Partners is a Tucson agency applying for an entity surplus lines broker license.
| Form Section | What the Agency Enters |
|---|---|
| Resident State and License Class | Arizona; Surplus Lines Broker (business entity) |
| Entity Legal Name | Desert Risk Partners LLC |
| Entity Producer License | Active resident Property/Casualty entity license |
| Designated Responsible Licensed Producer | Maria Lopez, with NPN and both licenses |
| Office Coverage | One licensed producer per office confirmed |
| Background Questions (entity) | No to all, principals disclosed |
| Business Address | Physical Tucson office address |
| Assumed Name | DBA disclosed on application |
| Fee Paid | $1,000 surplus lines broker fee |
Scenario 3: Robert Hayes, Applicant With a Prior Misdemeanor
Robert is a Mesa producer with a ten-year-old misdemeanor he must disclose.
| Form Section | What Robert Enters |
|---|---|
| Resident State and License Class | Arizona; Surplus Lines Broker |
| Full Legal Name | Robert Hayes (matches SSA records) |
| Producer LOA Verification | Active Casualty line confirmed |
| Exam Verification | Series 13 passed |
| Background Questions | Yes to criminal-history question |
| Supporting Documents | Signed statement, complaint, plea, sentencing order |
| Section 1033 Consent | Not required (misdemeanor, not a 1033 felony) |
| DPS Fingerprint Number | A-prefixed number entered |
| Fee Paid | $500 (under two years left on license) |
How to File the Completed Arizona Surplus Lines Broker Application
Arizona accepts this application through one primary channel, with limited document support by mail or email. The core application is electronic only.
- Online through NIPR (required channel). File at the NIPR Resident Licensing application. The state fee is $1,000 or $500 depending on time left on your producer license, plus NIPR’s transaction fee, paid by credit card or electronic check. The Department processes most applications within 30 days, and your proof of filing is the NIPR transaction number and confirmation page.
- Attachments Warehouse (for documents). Upload background statements, court records, Section 1033 consent, and authorization letters through NIPR’s Attachments Warehouse. There is no separate fee, processing folds into the main file, and your proof is the upload confirmation tied to your transaction number.
- Mail or email (backup for supporting documents). You may also send background supporting documents to DIFI by mail at 100 North 15th Avenue, Suite 261, Phoenix, AZ 85007-2630, or email to insurancelicensing@difi.az.gov. Include your NIPR transaction number, keep a copy and a delivery receipt as proof, and expect this route to be slower than electronic upload.
After you submit, the system may flag the file as “administratively deficient” and list what is missing. You then have 60 days to cure the deficiency, so watch your email closely and respond fast.
What Happens After You File
Once DIFI receives your application, a defined timeline begins. By law the Department has up to 120 days to decide whether your file is “administratively complete” and up to an additional 60 days to review the substance, but in practice most applications clear within 30 days. These outer limits exist so the Department must grant or deny within a set period.
If the system marks your file “administratively deficient,” it will identify the additional requirements. You have 60 days to cure the deficiency, or the application is administratively withdrawn and your fee is forfeited. This is the single most important post-filing deadline, so treat any deficiency email as urgent.
When approved, you can print your license electronically through NIPR. Your surplus lines broker authority attaches to your existing producer license and expires and renews together with it under ARS § 20-289. You should keep your transaction number and confirmation as proof of the date you filed.
After licensing, you take on ongoing duties. You must report address, email, name, or principal changes within 30 days under ARS § 20-286(C), report administrative actions within 30 days under ARS § 20-301(A), and begin filing your surplus lines business and 3.0% premium tax through the Surplus Line Association of Arizona.
Mistakes to Avoid When Filling Out the Form
Each mistake below names the error and the direct consequence.
- Applying without an active Property or Casualty producer license. NIPR blocks the submission, because the base license is a legal prerequisite.
- Selecting the wrong license class on the first screen. You route into the wrong fee and exam check and must restart the application.
- Entering a P.O. Box or PMB as your address. DIFI rejects the address field and issues a deficiency notice.
- Starting the application before your exam score posts. NIPR’s exam verification fails and stops the file.
- Answering “no” to a background question that should be “yes.” This becomes a misrepresentation and a near-certain denial.
- Uploading incomplete court records. The file freezes pending the missing charge or disposition documents.
- Skipping the Section 1033 consent when convicted of a covered felony. You are barred from working in insurance until the consent is granted.
- Entering a wrong DPS fingerprint number. The background results cannot match your file, delaying approval.
- Using an outdated email address. You miss the deficiency notice and forfeit your fee after 60 days.
- Naming a DRLP without a surplus lines license. The business entity application is deficient and cannot be approved.
- Marketing under an undisclosed DBA. You commit a compliance violation that can support disciplinary action.
- Assuming the fee is refundable. Fees are non-refundable under ARS § 20-167 if you apply for something you do not qualify for.
Do’s and Don’ts
Do:
- Do confirm your Property or Casualty license is active first, because surplus lines authority cannot exist without it.
- Do schedule and pass the Series 13 exam before applying, since NIPR verifies the score before submission.
- Do disclose every background matter truthfully, because honesty is survivable and concealment is not.
- Do use a physical street address, since P.O. Boxes and PMBs are rejected.
- Do monitor your email daily after filing, because the 60-day cure clock runs from submission.
- Do save your NIPR transaction number, as it is your proof of filing and your reference for any deficiency.
Don’t:
- Don’t apply while your producer license is lapsed or suspended, because the system blocks new authority.
- Don’t enter a name that differs from your legal records, since identity mismatches trigger holds.
- Don’t guess on background documents, because incomplete records freeze the file.
- Don’t ignore the DRLP requirement for entities, as the entity cannot be licensed without a qualified one.
- Don’t market under an undisclosed assumed name, since it is a compliance violation.
- Don’t assume your fee comes back if denied, because it does not.
Pros and Cons of Filing on Your Own vs. With Help
Many producers file the NIPR application themselves, while agencies often use a compliance service. Here is how the two compare.
Pros of filing on your own:
- Lower cost, because you avoid third-party service fees on top of the state fee.
- Direct control, since you enter every field and see every screen yourself.
- Faster start, as you can file the moment your exam posts without coordinating with a vendor.
- Better learning, because you understand your own compliance duties going forward.
- Simple for individuals, since a single-producer file has fewer moving parts.
Cons of filing on your own:
- Higher error risk, because a missed field can trigger the 60-day cure clock and a forfeited fee.
- No deadline tracking, since you manage the cure window and renewals alone.
- Harder for entities, as DRLP and multi-office rules add complexity a service handles routinely.
- Background pitfalls, because a service knows exactly what documents DIFI wants for a disclosure.
- No fee recovery, since a wrong application class still forfeits the non-refundable fee.
Surplus Lines Broker License vs. Insurance Producer License
These two licenses are related but distinct, and confusing them causes filing errors.
| Insurance Producer License | Surplus Lines Broker License |
|---|---|
| Base license to sell admitted-market insurance | Add-on authority to place non-admitted (surplus) coverage |
| State fee of $120 | State fee of $1,000 or $500 |
| Requires a line-of-authority exam (e.g., Property, Casualty) | Requires the separate Series 13 surplus lines exam |
| Can stand alone | Requires an active Property or Casualty producer license first |
| No surplus lines premium tax duty | Triggers the 3.0% surplus lines premium tax filing |
FAQs
Do I need a producer license before I can apply for a surplus lines broker license?
Yes. Arizona requires an active resident Property or Casualty producer license on the PDB before you apply, because surplus lines authority is added on top of that base license under ARS § 20-411.
Do I have to pass a separate exam for the surplus lines broker license?
Yes. You must pass the Series 13 surplus lines exam, since passing your earlier producer exam does not satisfy this requirement, and NIPR verifies the score before submission.
Do I pay $1,000 or $500 for the license?
Yes, it depends on your producer term; you pay $1,000 if two years or more remain on your producer license and $500 if less than two years remain.
Do I write my legal name or my DBA in the name field?
No DBA goes in the name field; enter your full legal name as it appears on your producer license and SSA records, and disclose any DBA in the assumed-name section.
Do I list a P.O. Box if that is where I get mail?
No. Arizona prohibits a P.O. Box or PMB for both residence and business address, so you must enter a physical street address in those fields.
Do I enter my DPS number even if I was printed before?
Yes. You must complete Arizona DPS fingerprinting through Fieldprint and enter the A-prefixed DPS registration number, because prior or out-of-state prints do not carry over.
Do I have to disclose an old misdemeanor on the background questions?
Yes. You should disclose it, because the duty to report is broad, and a false “no” becomes a misrepresentation that can support denial under ARS § 20-295.
Do I need the Section 1033 consent form?
No, not usually; you need it only if you were convicted of a felony involving dishonesty or breach of trust, or of violating 18 U.S.C. § 1033.
Do business entities need a special person named on the application?
Yes. A business entity must name one Designated Responsible Licensed Producer who holds both a Property or Casualty producer license and a surplus lines broker license.
Do I get my fee back if my application is denied?
No. The fee is non-refundable under ARS § 20-167, so you should confirm you qualify for the class and lines of authority before you pay.
Do I have a deadline to fix a deficient application?
Yes. You have 60 days from submission to cure any deficiency, or the application is administratively withdrawn and the fee is forfeited.
Do I file this application on paper or online?
No paper application is used; you file electronically through the NIPR Resident Licensing application, and DIFI directs all applicants to NIPR.com.
Do I need to file Form L-193 if I use a business name?
Yes, if you use any name other than your legal name and did not disclose it on the application, you must file Form L-193 and should register the trade name with the Secretary of State.
Do I owe a premium tax once I am licensed?
Yes. You file your surplus lines business and pay Arizona’s 3.0% surplus lines premium tax through the Surplus Line Association of Arizona once you begin placing coverage.
Related reading
- How to Fill Out the Massachusetts Surplus Lines Broker License (w/ Examples) + FAQs
- How to Fill Out the Massachusetts Surplus Lines Broker License Application (w/ Examples) + FAQs
- How to Fill Out the Washington OIC Surplus Line Broker License + FAQs
- How to Fill Out the Washington OIC Surplus Lines Broker License (+ FAQs)
- How to Fill Out the Arizona (AZ) Insurance Producer License Application (w/ Examples) + FAQs
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