PORTABLE ELECTRONICS ADJUSTER: License Application for an Individual

The following are requirements for an individual applying for a portable electronics adjuster license. The requirements apply to both Arizona residents and residents of other states ("nonresidents") except as otherwise noted:

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All insurance professionals (both residents and nonresidents) can apply for licenses, renew licenses, and update addresses and phone numbers online through the National Insurance Producer Registry (NIPR), at www.nipr.com.

NIPR license and renewal applications are easy to complete, and we can usually process them faster than applications that are mailed to us. NIPR charges a small transaction fee (around $5 to $7) to process a license application and fee payment. Many people have found that overall, the added convenience plus the time and postage savings are worth paying the fee.

USE NIPR FOR FREE to change an address, e-mail address or phone number!

NOT EVERYONE QUALIFIES FOR AN INSURANCE LICENSE

The Department can deny a license for any cause listed in Arizona Revised Statutes ("ARS") § 20-295. You should review this statute before deciding to spend the time, effort and money (fees are nonrefundable) to apply for a license. If you apply for a license, you must truthfully and completely answer questions asked on the application, and you may need to provide additional documentation.

MEET THE MINIMUM AGE REQUIREMENT

You must be at least 18 years old.

PROVIDE PROOF OF LAWFUL PRESENCE IN THE UNITED STATES

Submit Form L-152 (ARS § 41-1080) with one of the required forms of identification unless you reside outside Arizona and are licensed in good standing as an adjuster in your home state.

PROVIDE YOUR FINGERPRINTS (*if required)

Pursuant to ARS §§ 20-142(E) and 41-1750(G)(2), you must submit fingerprints to the Arizona Department of Insurance and Financial Institutions if any of the following apply:

You are an Arizona resident and do not already hold an Arizona insurance license for which you needed to furnish fingerprints
You are relocating to Arizona from another state
You are a resident of a state that does not issue the type of license you want to have in Arizona

If you are required to submit fingerprints:

Have a clear set of fingerprints applied to the fingerprint card by the professional fingerprinting technician. Prometric, Arizona's insurance examination provider, along with some other vendors, use electronic systems to optically image fingerprints, which tend to produce more accurate results.
Make sure that the fingerprinting technician
verifies your identity using your government-issued photo ID;
completes Form L-FPV (Fingerprint Verification Form);
seals the completed Form L-FPV with the completed fingerprint card in a fingerprint card envelope;
writes his/her name across the edge of the flap of the envelope so that the upper parts of the letters are on the flap and the lower parts of the letters are off the flap (but on the envelope).
Submit the UNOPENED ENVELOPE containing the completed fingerprint card and Form L-FPV along with your license application.
Add the FBI fingerprint card processing fee to your license fee payment. The FBI fingerprint card processing fee is separate from the fee that a fingerprint card technician may charge you to apply your fingerprints to a fingerprint card and to complete Form L-FPV.

IMPORTANT! The Department will refuse to accept a fingerprint card if the fingerprint card envelope appears to have been opened or if the Form L-FPV is not included in the envelope with the card.

Your fingerprints and Your Rights to Your Criminal History Record
Fingerprints that you provide in conjunction with a license application will be submitted to and checked against Arizona and FBI criminal history databases. You have the right to review and challenge your own criminal history records.

Arizona Criminal History Record: To obtain a copy of your Arizona criminal history record in order to review/update/correct the record, you can contact the Arizona Department of Public Safety (ADPS) Criminal History Records Unit at (602) 223-2222. Information concerning the review and challenge process is available on the ADPS website at https://www.azdps.gov/services/public/records/criminal.
Federal Identity History Summary Checks: The procedures for changing, correcting or updating your FBI criminal history record are set forth in Code of Federal Regulations (CFR) Title 28, Chapter I, Part 16, Subpart C (§§ 16.30 through 16.34). Information on how to review and challenge an FBI criminal history record is available from the FBI website at https://www.fbi.gov/file-repository/challenge-brochure.pdf/view.

SUBMIT A LICENSE APPLICATION

Submit your license application: You can either apply online through the National Insurance Producer Registry (NIPR) or you can submit a paper application (NAIC uniform license application for an Individual). NIPR online applications are generally processed more quickly than applications submitted on paper.

PAY REQUIRED (non-refundable) FEES

Non-refundable fees:
License Fee	$120.00
FBI Fingerprint Card Processing Fee*	$22.00
*Only pay the FBI Fingerprint Card Processing Fee if you are required to submit a fingerprint card with your license application. The FBI fee is different from the fee you may be charged to have fingerprints applied to a fingerprint card.

You can pay with a credit card if you submit your application online through the National Insurance Producer Registry.
You can pay by debit/credit card, check or money order, made payable to "Insurance Licensing Section" if you deliver your payment with your license application and other required materials to the Department of Insurance Licensing Section.
You can pay by check or money order, made payable to "Insurance Licensing Section" if you mail your payment with your license application and other required materials to the Department of Insurance Licensing Section.

AFTER WE HAVE REVIEWED YOUR APPLICATION...

We will review your application and you will receive one of the following:

A notice telling you that your application was approved. Use License Search to view your license on our web site to ensure that your license information appears correctly. Use the National Insurance Producer Registry (NIPR) to correct or update information.
A notice telling you that your renewal application was denied. The notice will tell you the reason for the denial and will provide you with instructions concerning your right to appeal the decision.
A notice telling you that your renewal application was deficient. This notice will be emailed to you. You must provide the Department with any additional materials identified in the deficiency notice or accompanying instructions. You must cure all identified deficiencies or we may deny your license and you will forfeit the fees you paid.

NOTE: We do not produce paper license certificates. Licenses are accessible online through the LICENSE SEARCH option on our web site's main menu.

VIEW YOUR LICENSE

Your license will be available from the License Search option on this web site as soon as the Arizona Department of Insurance verifies you meet all license requirements. You will not receive a printed license certificate.

License applications can take up to one month to process. You must not conduct insurance business until you are licensed.

Form L-193: Certificate of Assumed Name

Use this form for each name, other than your genuine legal name, that you intend to use in conjunction with your insurance business. If you have established a business entity and want to use the name of the business entity in conjunction with your insurance transactions, the business entity must also hold an insurance license.


Form L-152: Licensing Eligibility (Lawful Presence in the US) Requirement	All individuals applying for an Arizona-resident license and applicants who are non-resident adjusters from states that do not license adjusters must complete this form.
Form L-FPV: Fingerprint Verification	This form is to be used by individuals who are required to submit fingerprints as part of an insurance license application. The form includes detailed instructions that must be exactly followed for fingerprints to be accepted by the Department of Insurance and Financial Institutions.
NAIC uniform license application for an Individual	To make your application process faster and easier, use NIPR.COM and apply online instead of completing, printing and mailing this application

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.

PORTABLE ELECTRONICS ADJUSTER: License Application for an Individual

NOT EVERYONE QUALIFIES FOR AN INSURANCE LICENSE

MEET THE MINIMUM AGE REQUIREMENT

PROVIDE PROOF OF LAWFUL PRESENCE IN THE UNITED STATES

PROVIDE YOUR FINGERPRINTS (*if required)

SUBMIT A LICENSE APPLICATION

PAY REQUIRED (non-refundable) FEES

License Fee

$120.00

FBI Fingerprint Card Processing Fee*

$22.00

AFTER WE HAVE REVIEWED YOUR APPLICATION...

VIEW YOUR LICENSE

Form L-193: Certificate of Assumed Name

LICENSING DIVISION

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