Individual Authorization

The Individual Authorization page is used to provide follow-up identification information to confirm that you are authorized to submit a licensing application for the intended licensee, whether yourself or another party.

An individual licensing application, for example, may request Date of Birth information after you have provided the last name and Social Security Number:

 

 

When you have completed this form, click the Main button to return to the Uniform Application main menu, or click the Next button to go to the next screen.

 

Copyright 2016 - National Insurance Producer Registry