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Marcia Hultman

Cabinet Secretary

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Division of Insurance

Producer Applications, Forms, Reports and Related Fees

The forms and reports listed below are provided in Adobe PDF format unless otherwise noted.

Application • Form • Report • Information	Fee
Producer Licensing (Individual and Business Entity) Electronic Application: NIPR [Access to NIPR also available through State Based Systems (SBS)] Schedule a License Examination: PearsonVue	$25.00 Resident; $30 Non-Resident
Annuity Best Interest Standards Forms
Appointment Form
Bail Bonds Application Information	$30.00 Application Fee and $43.25 Background Check (Payable to Division of Criminal Investigations. See additional background check requirements and instructions on online payment/electronic fingerprint submission option.)
Bail Bond Runner Application Information	$30.00 Application Fee and $43.25 Background Check (Payable to Division of Criminal Investigations. See additional background check requirements and instructions on online payment/electronic fingerprint submission option.)
Bail Bond Runner Appointment Form	$10.00 per appointment
Business Entity Information Electronic Application: NIPR [Access to NIPR also available through State Based Systems (SBS)]	$25.00 Resident; $30 Non-Resident
Certificate of Authority*
Certificate of Authority for Foreign Limited Liability Companies*
Business Entity Name Change	$10.00
Managing General Agents Application Electronic Application: NIPR [Access to NIPR also available through SBS] Additional Managing General Agents License Information Access Attachment Warehouse for Additional Document Submission [if applicable] (NIPR)	$25.00 Resident $30 Non-Resident
NAIC Uniform Business Entity Application	For Reference Only - Applications should be submitted electronically through: NIPR [Access to NIPR also available through SBS]
NAIC Uniform License Application	For Reference Only - Applications should be submitted electronically through: NIPR [Access to NIPR also available through SBS]
Portable Electronic License Application Electronic Application: NIPR [Access to NIPR also available through SBS] Portable Electronic License Application Information and Supplemental Documentation Access Attachment Warehouse for Additional Document Submission (NIPR)	$25.00 Resident $30 Non-Resident
Rental Car Producer License Application Electronic Application: NIPR [Access to NIPR also available through SBS] Rental Car Producer License Supplemental Documentation Access Attachment Warehouse for Additional Document Submission (NIPR) Other Required Reporting: Rental Car Quarterly Report of Employees Rental Car Agency Annual Certification Rental Car - Insurer Certification for Rental Car Agent	$25.00 Resident $30 Non-Resident
Surplus Lines Information

* South Dakota Secretary of State forms

Please contact the Division with any questions regarding certificates of insurance.

Contact the Division of Insurance