Instructions For Form L-176 (Page 2 of 2) in pdf

INSTRUCTIONS (CONT’D)

ADDITIONAL REQUIREMENTS FOR SPECIFIC LICENSE TYPES

Nonresident adjuster applicants must complete Form ADJ.ADDENDUM.

Bail bond agent.

The applicant must submit and maintain throughout the term of the license a $10,000 surety

bond using Form L-195.

A Bail bond agent may not employ or assist in the employment of any person who has been

convicted in any jurisdiction of theft or of any felony or any crime involving carrying or the

possession of a deadly weapon or dangerous instrument. A.R.S. § 20-321(A)(9).

After becoming licensed, all bail bond agents must satisfy continuing education requirements.

Bail bond continuing education courses are not widely available; therefore, licensees should

complete continuing education requirements as early as possible to ensure compliance upon

applying for license renewal.

Broker applicant must submit and maintain throughout the term of the license a $1,000 surety bond

using Form L-141.

Managing general agent applicant must have Form L-107 completed by an authorized official of the

insurance company with which applicant has a contract. Applicant must also submit and maintain

throughout the term of the license a deposit consisting of one or more of the following which total

10% of the total money estimated to be handled by the MGA during the calendar year but which in

no case shall be less than $50,000 or greater than $100,000:

a surety bond executed using Form L-106,

cash,

a certificate of deposit, or securities eligible for investment pursuant to Title 20, Chapter 3,

Articles 1 and 2.

Title agent applicant (which may only be a domestic or foreign stock corporation) must submit a

letter of authorization from the Arizona-admitted title insurance company that the applicant will

represent subject to being issued a license.

Variable contracts agent. Include with your application evidence dated within six months of your

application that you are licensed as a registered representative or principal in good standing with the

National Association of Securities Dealers (NASD). To provide this evidence, you must submit one

of the following: (1) A U-4 Status Report (dated within six months of your application; OR (2) Form

L-VCA completed by your broker-dealer with the signature notarized, OR (3) a printout of information

from showing your present registration.

THE ARIZONA DEPARTMENT OF INSURANCE IS AN EQUAL EMPLOYMENT OPPORTUNITY AGENCY THAT COMPLIES WITH THE AMERICANS WITH DISABILITIES ACT ("ADA')_OF 1990.

PERSONS WITH DISABILITIES MAY REQUEST ACCOMMODATION BY CONTACTING THE ADA COORDINATOR AT 602-912-8402.

REQUESTS SHOULD BE MADE AS EARLY AS POSSILE TO ALLOW TIME FOR THE DEPARTMENT TO MAKE APPROPRIATE ARRANGEMENTS.

Instructions For Form L-176 Page 2