Licensing Application Forms and Class Information
- Application Forms
- Class Information
- Updated! Licensing - Frequently Asked Questions
- Licensing Exam Information
- Online Licensing Applications
Application Forms
For the following types of licenses, application instructions and forms (in PDF format) are available for download:
- New! Charitable Bail Organization
- Life Settlement Broker (LSB)
- Excess Line Broker (EX)
- General Consultant (C3)
- Independent Adjusters (IA)
- Life and Accident/Health and Variable Life/Variable Annuity AGENT (LA)
- Life Accident and Health and Variable Annuity BROKER (LB)
- Life Consultant (C1)
- Limited Agent (LR)
(Limited Agent License for rental vehicle companies, wireless communications equipment vendors and self-services storage companies) - Mortgage Guaranty Agents (MG)
- Property and Casualty Agent (PC)
- Property and Casualty Broker (BR)
- Public Adjusters (PA)
- Service Contract Registration Under Section 7907 (SR)
AFTER PASSING AN EXAMINATION, IF REQUIRED, send us an APPLICATION, FEE, & DOCUMENTATION required by the application instructions.
For general information regarding agent and broker licenses issued by the Department, select License Information.
Class Information
Following is a table that lists the licenses issued by the New York State Department of Financial Services and their requirements.
Code:
BB - bail bond agent |
Code:
BR - property & casualty broker (all lines except
life, bail bonds, annuities)
Other Requirement: 90 hour course or Statement of Employer |
Code:
C1 - consultant - life
|
Code:
C3 - consultant -general Ins Law Section: 2107 Exam Required: Yes. Call PSI* Exemption from Examination:
|
Code: EX - excess
line broker |
Code: IA
- independent adjuster
|
Code:
LA - life, a&h, variable life/variable annuities
agent
Other Requirement: 40 hour course |
Code:
LB - life broker
Other Requirement: 40 hour course or Statement of Employer |
Code:
LR - limited agent |
Code: LSB - Life Settlement
Broker
Other Requirement: Department approved course or Statement of Employer |
Code: MG
- mortgage guarantee agent
Other Requirement: 90 hour course |
Code:
PA - public adjuster
Other Requirement: 40 hour course or Statement of Employer |
Code:
PC - property & casualty agent
Other Requirement: 90 hour course |
Code: RI - reinsurance
intermediary |
Code:
SR - service contract registrant |
*Licensing Exam Vendor
PSI Services, LLC
3210 East Tropicana
Las Vegas NV 89121
Telephone: 1-800-733-9267
www.psiexams.com
Updated 02/14/2013


