The following is a list of the forms that must be submitted to apply for each type of license for a resident of Washington:

Agent (Individual)

• Pre­License Education Certificates of Completion (for Life, Disability, Property, Casualty, Rules & Regulations)
• Insurance License Application (INS­14 WordPerfect) (INS­14MS Word)
• Two Fingerprint Cards
• Appointment and/or Affiliation Request Form (INS­18 WordPerfect) (INS­18 MS Word)
• Examination Score Report(s)

Broker (Individual)

• Insurance License Application (INS­14 MS Word)
• Two Fingerprint Cards
• Examination Score Report(s)
• Broker’s Bond in the amount of $20,000. (INS­17) (For Surplus Lines Broker, also need Bond of $100,000 in favor of the people of the State)
• Affiliation Request Form (INS18 WordPerfect) (INS­18 MS Word) if applicable

Viatical Settlement Broker (Individual)

• Completed License Application (INS­14VSB)
• Appointment Request Form, completed by each viatical settlement provider represented (INS­18VSB)
• Affiliation Request Form (INS­18VSB) if applicable
• Two Fingerprint Cards (a $49 Cashier’s check, company check or money order payable to the Washington State Patrol Identification Section is required)
• Test Score Reports or proof of qualification as a life agent
• Pre­License Education Certificates, if applicable
• License and Appointment Fees

Adjuster ­ Independent or Public (Individual)

• Insurance License Application (INS­14 MS Word)
• Affiliation Request Form (INS­18 MS Word)
• Two Fingerprint Cards
• Examination Score Report
• Public Adjusters only ­ $5,000 Public Adjuster’s Bond

Solicitor (Individual only)

• Prelicense Education Certificates of Completion (for Life, Disability, Property, Casualty, Rules & Regulations)
• Insurance License Application (INS­14MS Word) signed by employing Agent or Broker
• Two Fingerprint Cards
• Examination Score Report(s)

The following is a list of the forms which must be submitted for each type of license for a nonresident:

Agent (Individual)

• Insurance License Application (INS­14MS Word)
• Two Fingerprint Cards
• Appointment and/or Affiliation Request Form (INS­18 MS Word)
• Power of Attorney Form (INS­25 MS Word)
• Letter of Certification from Resident State

Broker (Individual)

• Insurance License Application (INS­14 MS Word)
• Affiliation Request Form (INS­18 MS Word)) if applicable
• Two Fingerprint Cards
• Power of Attorney Form (INS­25 MS Word)
• Letter of Certification from Resident State
• Broker’s Bond in the amount of $20,000

Adjuster ­ Independent or Public ­ Individual

• Insurance License Application (INS­14 MS Word)
• Affiliation Request Form (INS­18 MS Word) if applicable
• Two Fingerprint Cards
• Letter of Certification from Resident State