National Insurance Producer Registry

This page provides state-specific checklists, application forms and contacts for paper resident and non-resident licensing in the State of Virginia.

Organizational Documents

Certificate of Authority (corporations), Certificate of Registration (limited liability company), or Certificate of Limited Partnership (limited partnership) from the Clerk of the Commission - call 804-371-9733 for procedures or visit its website at http://scc.virginia.gov/clk/index.aspx. Note: This is the equivalent of obtaining a certificate of authority from the Secretary of State in most other states.

Other Requirements

Certified check, cashier or teller’s check, company or agency check, or money order payable to the Treasurer of Virginia - SCC/BOI for $15 for each line of authority. This is a nonrefundable, nontransferable application processing fee.

Signed and completed application

The business entity must designate a licensed producer responsible for the business entity’s compliance with the insurance laws, rules and regulations of Virginia.

Appointment Requirements After Licensing

Appointment must be received within 30 working days of effective date of contractual agreement with company.

Other Requirements

For variable contracts, the applicant must already hold a Life and Annuities license in Virginia and passed the Series 6 or Series 7 exam with FINRA.

If the applicant answered yes to question 39-1, applicant must attach a copy of the 1033 waiver from your home state; a written statement explaining the circumstances of each incident; a certified copy of the charging document; a certified copy of the official document, which demonstrates the resolution of the charges or any final judgment; and if applicable, a letter from the federal or state probation and parole office outlining your performance or satisfactory completion of your probationary period.

Signed and completed application

Note: Do not use a company’s or any business address (including PO Box) as the individual producer’s residence or mailing address. Virginia insurance statutes require the individual producer’s residence (street) address to be the mailing address of record.

Organizational Documents

Certificate of Incorporation, Certificate of Organization, or Certificate of Limited Partnership from the Clerk of the Commission – call 804-371-9733 for procedures or visit its website at http://scc.virginia.gov/clk/index.aspx. Note: This is the equivalent of obtaining a certificate of authority from the Secretary of State in most other states.

Other Requirements

Certified check, cashier or teller’s check, company or agency check, or money order payable to the Treasurer of Virginia – SCC/BOI for $15 for each line of authority. This is a nonrefundable, nontransferable processing fee.

For Variable Contracts, the business entity must hold a Life and Annuities license and have registered with FINRA.

The business entity must designate a licensed producer responsible for the business entity’s compliance with the insurance laws, rules and regulations of Virginia.

Completed application, signed and dated

Other Requirements

Criminal history record report. A current (no more than 90 days old) criminal history record report must be enclosed with each application, and must be obtained through the Virginia State Police by calling 804-674-2000 or through its website at: www.vsp.state.va.us.

If the applicant answered yes to question 39-1, applicant must attach a written statement explaining the circumstances of each incident; a certified copy of the charging document; a certified copy of the official document which demonstrates the resolution of the charges or any final judgment; if applicable, a letter from the federal or state probation and parole office outlining your performance or satisfactory completion of your probationary period; if applicable, a letter from your current or prospective employer if engaged in the business of insurance; and your employment history since your conviction and a copy of any civil rights restoration.

If the applicant answered yes to question 39-2, applicant must attach a copy of the official document which demonstrates the charges and final judgment and a detailed explanation.

Applicants moving into Virginia – If you were previously licensed in another state and submit a clearance letter within 90 calendar days of the cancellation of your previous home state license(s), you will not be required to pass the examination nor provide a criminal history record report prior to obtaining the resident license. If you fail to apply within the 90 calendar days, you will be required to pass the examination(s) and provide a current criminal history record report from your previous home state if you have resided in Virginia for less than six months.

Certificate from the American College – if you are a CLU and want the Life and Annuities examination or the Health examination, or the combination Life and Health examination waived, you must submit proof of your CLU designation

Certificate from the American Institute for Property and Liability Underwriters – if you are a CPCU and want the Property and Casualty examination or Personal Lines examination waived, you must submit proof of your CPCU designation

For Variable Contracts, the applicant must hold a Life and Annuities license and must have passed the Series 6 or Series 7 examination and registered with the NASD.

DMV-assigned number.

If you choose or have chosen to use a DMV-assigned number as your License Number in lieu of your Social Security Number, you must notify any insurance companies appointing you as they will have to appoint you under the DMV-assigned number. The affects of using your DMV-assigned number instead of your Social Security Number is as follows:

1. Your licensing information will not be reported to the NAIC’s Producer Data Base (PDB) as they are not able to accept alpha-numeric numbers.

2. You will not be able to apply for any nonresident licenses electronically.

3. Insurance companies will not be able to submit an appointment for you electronically. They will be required to submit the appointment on paper directly to the Bureau.

Complete both the Residence/Home Address and Business Address sections of the application. Virginia law requires that you provide a residential street address as your address of record, so do NOT use a P.O. Box instead of a street address.

Completed application, signed and dated

DISCLAIMER

The National Insurance Producer Registry ("NIPR") populates the State Matrix of Business Rules ("State Matrix") with information provided directly from participating state insurance departments. Participating states are encouraged to provide updated information when appropriate. NIPR does not guarantee the completeness, accuracy or adequacy of the information in the State Matrix. The information in the State Matrix does not constitute legal advice and use of this information is at user's own risk and responsibility. Any questions regarding the interpretation of the rules or the accuracy of the information should be directed to the appropriate state insurance department.

Uniform Application for Business Entities
[PDF] [Word]

Uniform Application for Individuals
[PDF] [Word]