The following forms must be mailed into our office:
- 1033 Application for Written Consent
- Annual TPA Report
- TPA New Application and Annual Report Form
- Surety Bond for Independent & Public Adjusters
- Public Adjuster Contract
- Public Adjuster Disclosure Form 230
The following forms must be emailed to agents.licensing@state.nm.us only:
- Adjuster Designated Home State Change Request Form
- Business Entity Affiliation Cancellation Form 202C
- DRLP Change Request Form
- License Cancellation
Self Service Storage:
- Registry of Authorized Locations Form 300
- Authorized Employees and Representatives Form 301
- Training Material Change Request Form 302
The following forms require payment. You can make payment via check, ACH Credit or Wire. If you pay via check, please mail in the check along with the form. If you pay via ACH Credit or Wire, you must email the form as soon as you submit the payment to agents.licensing@state.nm.us :
- Electronic Payment Instructions
- Business Entity Affiliation Form 202B
- Business Entity Name Change Request Form 210B
- Individual Name Change Request Form 210C
- Letter of Certification 200
- Letter of Clearance 201
Informational only:
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