How to Amend an Insurance License - DCCA Hawaii
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How to Amend an Insurance License

To update your contact info

Individuals must update their info electronically on NIPR’s website (select “Change Contact Information”). Contact info includes mailing address, home address, home phone number, business address, business phone number, business fax number, business e-mail, business website.

All appointments and termination of appointments, must submit electronically via NIPR’s Gateway.

To add or remove a class of insurance on your license, you must submit electronically on NIPR’s web site.

To add a Designated Representative on your insurance agency license, submit Form ADR (obtain at https://cca.hawaii.gov/ins/producers-forms/).

To remove a Designated Representative on your insurance agency license, submit Form RDR (obtain at https://cca.hawaii.gov/ins/producers-forms/).

To change your name or trade name on your insurance license, submit Form NTA (obtain at https://cca.hawaii.gov/ins/producers-forms/). Please go to https://cca.hawaii.gov/ins/producers/instructions_insurance_license/ and learn how to apply for the use or change of a trade name on the license.

To voluntarily surrender your license, submit Form VS (obtain at https://cca.hawaii.gov/ins/producers-forms/).

To request a Letter of Certification, submit Form LC (obtain at https://cca.hawaii.gov/ins/producers-forms/). A Letter of Certification is issued to an individual or agency who needs to submit evidence that they currently hold a resident insurance license in Hawaiʻi.

To request a Letter of Clearance, submit Form LC (obtain at https://cca.hawaii.gov/ins/producers-forms/). A Letter of Clearance is issued to an individual or agency who needs to submit evidence that they previously held a resident insurance license in Hawaiʻi and it was in good standing at the time of inactivation.

All paper forms above may be submitted to the Hawaiʻi Insurance Division – Licensing Branch via e-mail or fax. No fees are required.