Arizona Department of Insurance
100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630

Starting July 1, 2020, we became the
Department of Insurance and Financial Institutions (DIFI).

You do not need a service company permit if you are any of the following:
  1. A manufacturer of a product that issues warranties on the product.
  2. Motor vehicle manufacturers that pay claims for service contracts they sell.
  3. An affiliate of a product manufacturer that issues warranties or service contracts and that submits annual audited financial statements per ARS § 20-1095.02(A)(3).
  4. Companies that sell service contracts to persons other than a consumer (i.e. reseller).
  5. Companies that issue service contracts that cover only one the following types of items that the company sells or services:
    • Appliances and/or electronic equipment;
    • Residential heating, cooling or air conditioning systems;
    • Mechanical equipment other than motor vehicles or their components.
    Example: Acme Air Conditioning sells service contracts only on the AC units that they sell or service; their main business is selling or servicing AC units.
  6. Companies that, directly or through retailers, sell or service electronic personal communications devices and accessories (such as cell phones, tablets, etc.).
  7. Licensed residential contractors (or those exempt under ARS § 32-1121) who sell service contracts on the items, structures or improvements that they install, construct, or build.
  8. Companies issuing prepaid maintenance agreements that provide scheduled maintenance and do not include repair or replacement.
  9. Licensed motor vehicle dealers that sell motor vehicle service contract programs approved by the Department per ARS § 20-1095.06. The vehicle dealer must file its intent to sell contracts using Department Form E-801 per ARS § 20-1095.07.
Form E125: Security Deposit Form
Form E126: Security Release Form
Form E-857: Bond of Service Company
Form E-800: Application for Service Company Permit

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.

Form E-811: Renewal of Service Company Permit
Form E-801: Motor Vehicle Dealer's Notice of Intent

A motor vehicle service contract administrator or insurer must use this form and submit a fee to file an application for approval of a motor vehicle service contract program.  ARS § 20-1095.06.

Custodial Bank Deposit New Account Packet

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.

Form E-800-B: Service Company Biographical List

Complete this form to report:

  • All members of the board of directors/trustees, members of the executive committee or any other governing board of the committee; and,
  • If applicant is a corporation, all officers and all shareholders that directly or indirectly own 25% or more of the voting securities of the applicant if a corporation; and,
  • If applicant is a partnership or association, all partners.

IMPORTANT! The Department will investigate information provided and may deny or refuse to renew a permit if the applicant fails to provide complete and truthful information about itself and the individuals responsible for the service company’s affairs.

Form E-820: Service Company Application Checklist

The Department of Insurance uses this document to determine whether an application meets the requirements under Arizona law. Use this document to check your application before you submit it.

Form E126 Cash: Cash Release Form
NAIC Form 11: Biographical Affidavit

Must be completed by each partner, officer, and director, and each other entity owning 25% or more of a Service Company applicant.

ARS § 41-1030(G) requires most Arizona government agencies to prominently print the provisions of ARS § 41-1030(B), (D), (E) and (F) on all license applications.  The following is the language in ARS § 41-1030(B), (D), (E) and (F):

B.        An agency shall not base a licensing decision in whole or in part on a licensing requirement or condition that is not specifically authorized by statute, rule or state tribal gaming compact. A general grant of authority in statute does not constitute a basis for imposing a licensing requirement or condition unless a rule is made pursuant to that general grant of authority that specifically authorizes the requirement or condition.

D.        This section may be enforced in a private civil action and relief may be awarded against the state.  The court may award reasonable attorney fees, damages and all fees associated with the license application to a party that prevails in an action against the state for a violation of this section.

E.        A state employee may not intentionally or knowingly violate this section.  A violation of this section is cause for disciplinary action or dismissal pursuant to the agency’s adopted personnel policy.

F.         This section does not abrogate the immunity provided by section 12-820.01 or 12-820.02.