Form L-WAV: Fee Waiver Request
Only use this form (rather than paying the license fee) if you meet all the requirements on the form. If you file this form, it becomes part of your license application, and if you file incorrect, misleading, incomplete, or materially untrue information on a license application, an insurance license can be denied, suspended or revoked, you could be assessed civil penalties and you could be the subject of other administrative and legal consequences. The fee waiver only applies to the license fee. It does not apply to other fees and costs you may need to pay in order to become licensed.