Section 31A-23a-412 of the Utah Insurance Code requires all licensees to notify the Commissioner in writing, within 30 days, of any change of address or telephone number. Producer licensees must process their own license changes electronically via SIRCON.
Correspondence from the Department is mailed to the licensee’s business mailing address on file with the department. If a PO Box is used, a street address must also be furnished.
If you are moving from one state to another, you are not able to complete your address change through SIRCON or NIPR. In accordance with Rule R590-244-11, this request must be submitted via fax, email or a PDF attachment to an email:
- The name and title of the individual submitting the amendment,
- The relationship to the licensee of the individual submitting the amendment,
- The following attestation made by the individual submitting the amendment: “I hereby attest that all of the information submitted is true and correct, and that I am the individual licensee for whom the requested change is being submitted, or an authorized responsible representative of the individual or agency licensee for whom the requested change is being submitted.“
Please submit the request by faxing to 385-465-6055 or emailing as a PDF attachment to firstname.lastname@example.org.