<
Producer Applications, Forms, Reports and Related Fees
The forms and reports listed below are provided in Adobe .pdf format* unless otherwise noted.
| Application - Form - Report | Fee |
| Bail Bonds Application | $30.00 |
| $24 for Department criminal investigations | |
| Business Entity Application | |
| Appointment Form | |
| Certificate of Authority* | |
| Certificate of Authority for Foreign Limited Liability Companies* | |
| Corporation Name Change | $10.00 |
| Managing General Agents - Resident | $25.00 |
| Managing General Agents - Non Resident | $30.00 |
| NAIC Uniform Application |
|
| Portable Electronic License Application | $25 resident $30 non-resident |
| Rental Car Resident Producer License | $25.00 |
| Rental Car Non-Resident Producer License | $30.00 |
| Rental Car Quarterly Report of Employees | NA |
| Rental Car Agency Annual Certification | NA |
| Insurer Certification for Rental Car Agent | NA |
| Termination of Company Appointment | NA |
| Third Party Administrator | $500.00 |
| *South Dakota Secretary of State forms | |
Please contact us with any questions regarding certificates of insurance.
Contact Us
Division of Insurance
SD Department of Labor and Regulation
445 East Capitol Avenue
Pierre, SD 57501
Phone: 605.773.3563
Fax: 605.773.5369
e-mail
*Opening and printing Adobe .pdf files requires Adobe Acrobat Reader. Click here as needed to download the free Adobe Acrobat Reader.
Division of Insurance
445 E. Capitol Avenue
Pierre, SD 57501
Tel. 605.773.3563
Fax. 605.773.5369
445 E. Capitol Avenue
Pierre, SD 57501
Tel. 605.773.3563
Fax. 605.773.5369
Search:
For specific information on a
program, division or council,
click on one of the following
links:
