Other Producer Forms - Illinois Division of Insurance

Illinois Division of Insurance

Individual Premium Finance License Application (IPF-1) - Information	Link to form and insurance code
Individual Premium Finance License Application (IPF-1)	IL 446-0183 Rev. Date: 07/04
Corporation or Partnership Premium Finance Application (C/PPF-1)	IL 446-0185 Rev. Date: 07/04
Third Party Administrator License Application (TPA-1) - Information	Link to form and insurance code
Third Party Administrator License Application (TPA-1)	IL 446-0177 (07/04)
Third Party Administrator Bond Form	IL 446-0152 Rev. Date: 07/04
Third Party Prescription Administrator Registration	Rev. Date: 07/04
Third Party Prescription Administrator Bond	Rev. Date: 07/04
Third Party Prescription Rule 3150	Department Rule
Viatical Settlement Provider License Application - Information	Link to form and insurance code
Viatical Settlement Provider License Application	Rev. Date: 07/04
Public Adjuster Examination and License Information	Link to instructions, forms, and insurance code
Public Adjuster License Application (PA-1)	IL 446-0169 (07/04)
Public Adjuster Firm Registration (PA-2)	IL 446-0149 (07/04)
Public Adjuster's Bond	PAB Rev. Date: 07/04
Employee Leasing Company (Lessor) Registration (ELC-1) - Information	Link to form ELC-1 (7/04) and company act
Request for Certification of a Pre-Licensing Course	IL446-0211 Rev. Date: 03/05
Request for Certification of a Continuing Education Course	IL446-0210 Rev. Date: 03/05

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