How Do I Add Another License Type To My Current Insurance License?

The California Department of Insurance has created an Individual Short Form 441­17 application. The Short Form has only two pages for the applicant to complete in order to add another license type to his or her license. A life agent, for example, would complete only a two­page application to add a fire and casualty license type to his or her license instead of having to complete the six page Individual Application. It is no longer necessary for the licensee to provide the background information that the Individual Application (Form 441­9) requires each time the licensee adds a new license type to his or her license.

This new two­page Short Form provides an easier application process for current licensees to add the following license types:

  • Life Agent
  • Fire & Casualty Broker­Agent
  • Personal Lines Broker­Agent
  • Surplus Lines Broker
  • Special Lines` Surplus Line Broker.

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