New Jersey Administrative Code
Title 11 - INSURANCE
Chapter 17 - PRODUCER LICENSING
Subchapter 2 - LICENSING RULES
Section 11:17-2.3 - Application filing requirements for initial licenses

1. A properly completed application, in a form, including electronic online submissions, approved by the Department or the current version of the NAIC uniform application for individual producers in effect at the time of application, requesting issuance of an insurance producer license with one or more authorities, which shall contain the applicant's legal name, home address, date of birth, social security number, business mailing and location address, business trade name, if any, and responses to questions concerning the applicant's character and fitness for licensing. The application must be signed, dated and certified to be correct by the applicant or, in electronic online submissions, by the authorized submitter. In lieu of the NAIC uniform application, a nonresident applicant may submit a copy of the application for licensure submitted to the home state with a statement certifying to the truthfulness and accuracy of all responses to the questions concerning the applicant's character and fitness for licensure as of the date of the submission of the certification;

2. If a resident, when required, a certificate evidencing completion of an approved course of prelicensing education or a certificate evidencing waiver of that requirement; and a certificate evidencing that the applicant has passed the State licensing examination for the authority or authorities requested not longer than one year prior to the application date, or a certificate evidencing waiver of the examination requirement pursuant to 17:22A-35;

3. If a nonresident, the applicant shall certify that he or she holds a currently valid license authorizing transaction of insurance business in the applicant's home state for the kinds of insurance for which application is made;

4. Any documents or statements required to explain responses to questions concerning the applicant's character, fitness or financial responsibility;

5. If a resident and applying for major lines of authority (excluding limited lines of authority) or bail bonds authority, properly completed criminal history requests and fingerprint forms in a format prescribed by the Department, which shall include electronic fingerprinting; and

6. Payment of the fees required in accordance with 11:17-2.13.

1. A properly completed application in a form, including electronic online submissions, approved by the Department or the current version of the NAIC uniform application for business entities in effect at the time of application, requesting issuance of an insurance producer license for one or more authorities, which shall contain the business entity's legal name; business mailing and location address; other business names, if any; names, license numbers, if any, and license authorities of each licensed officer or partner; names, addresses, and license numbers, if any, of all persons owning 10 percent or more of the business entity; and responses to questions concerning the applicant's character, fitness, and financial responsibility. The application must be dated, signed and certified to be correct by an officer or partner of the organization. In lieu of the NAIC uniform application, a nonresident applicant may submit a copy of the application for licensure submitted to the home state;

2. If the applicant is a corporation, limited liability company, limited partnership or limited liability partnership, applying for a resident license, a copy of the original business certificate stamped "filed" by the Department of Treasury, Division of Revenue Business Services, County Clerk or other authority as applicable or a certificate filed by the Department of Treasury, Division of Business Services authorizing the applicant to transact business in New Jersey. If the application includes a business name other than the organization's legal name, the applicant shall also submit a certificate stamped "filed" by the Department of Treasury, Division of Business Services, County Clerk or other authority, as applicable, confirming that the business name has been properly recorded;

3. If the applicant is a business entity applying for a nonresident license, a certification evidencing that the applicant is authorized in the home state to transact insurance business with comparable authorities, if such verification is not available on the Producer Licensing Database maintained by the NAIC;

4. For resident business entities requesting major line(s) authority (excluding limited lines of authority) or bail bond authority, properly completed fingerprint forms in a format prescribed by the Department, which shall include electronic fingerprinting, for each officer, director, partner, or owner of 10 percent or more of the applicant business entity;

5. Any documentation required to explain responses to questions and concerning the applicant's character, fitness and financial responsibility; and

6. Payment of the fees required by N.J.A.C. 11:17-2.13.