Arizona Department of Insurance
100 North 15th Avenue, Suite 261Phoenix, AZ 85007-2630
Starting July 1, 2020, we will be the
Department of Insurance and Financial Institutions (DIFI).
Includes Form E-003, E-125 and instructions on how to establish an account for applicants who elect to use marketable securities to satisfy a financial security requirement.
This is the primary application form for a service company permit. The form and its instructions identify other documents you must submit with this form. You must complete the form on a computer - do not print it out until it is complete and all requirements are satisfied.