Form AID-LI-COR "Change From Nonresident to Resident" - Arkansas

What Is Form AID-LI-COR?

This is a legal form that was released by the Arkansas Insurance Department - a government authority operating within Arkansas. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on February 1, 2013;
  • The latest edition provided by the Arkansas Insurance Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form AID-LI-COR by clicking the link below or browse more documents and templates provided by the Arkansas Insurance Department.

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Download Form AID-LI-COR "Change From Nonresident to Resident" - Arkansas

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(Rev. 2/13)
Producers/Agents Moving to Arkansas
If you are a licensed producer in another state but you are moving to Arkansas and want to convert your license to a resident producer
license in Arkansas, please see the following instructions. These provisions are for producers/agents and do not apply to
https://insurance.arkansas.gov/pages/industry-regulation/
adjusters. Forms and instructions can be found on our website at
licensing/forms-instructions/
or you can contact the Department at 501-371-2750. Information is based on Arkansas Code Ann. §
23-64-509.
A. Currently License as a Nonresident in Arkansas:
If you are currently licensed as a nonresident in Arkansas and you move to Arkansas you can change over your active resident
license from your former resident state by providing Arkansas with a written request to change to a resident or use Form AID-LI-
COR. You must meet the following qualifications:
1. Your request must be received within 90 days of the cancellation of the license in your former home state. If the 90 days is
exceeded you will be required take the exam.
Your letter must contain your legal name and your Arkansas license
number.
2. You must give us a current Arkansas mailing address, resident address, and business address (if applicable). Including
phone numbers and e-mail address if they change. The information should be submitted on the change of address form
found on the website at
https://insurance.arkansas.gov/pages/industry-regulation/licensing/forms-instructions/
3. If your license is active in your former home state—you must contact your former home state to change you to a
nonresident producer/agent. We will verify the change via the national database.
4. No fee is required to change you to a resident but if your renewal is close for the non-resident license, we will request that
you send the fee in with the change to continue the license as a resident.
5. The resident license will be granted for the same lines of authority that were held in the previous state of residence.
B. If NOT licensed as a Nonresident in Arkansas:
If you are or were recently licensed in your former home state and you are not currently licensed as a nonresident in Arkansas and
move to Arkansas you must complete an application for a resident license Application AID-LI-RP for within 90 days of the move
and send the application with fee ($70.00) and you must complete the ASP-122 criminal background form and submit with a $22.00
fee. The checks must be payable to the Arkansas Insurance Department and the $22.00 check must be a business check, money
order or cashier’s check—no personal check can be accepted. If the 90 days is exceeded then you will be subject to the license
exam and pre-license education requirements. We will verify license in former home state via the national database. You must
surrender the resident license in the former home state or change it to a non-resident license. The resident license will be granted
with the same lines of authority or Arkansas equivalent line of authority that was held in the former resident home state.
**** Important Items
If you were exempt from continuing education in your former home state, that exemption will not carry over to Arkansas.
Anyone who becomes licensed as a resident after July 1, 2003, can never become exempt from continuing education. You will
be required to complete continuing education as a resident of Arkansas. There are no age exceptions.
You cannot be a resident of two states.
Your new resident license will be subject to renewal on or before your birthday not the end of the birth month as in some states.
Continuing education is due at the same time the license renews.
(Rev. 2/13)
Producers/Agents Moving to Arkansas
If you are a licensed producer in another state but you are moving to Arkansas and want to convert your license to a resident producer
license in Arkansas, please see the following instructions. These provisions are for producers/agents and do not apply to
https://insurance.arkansas.gov/pages/industry-regulation/
adjusters. Forms and instructions can be found on our website at
licensing/forms-instructions/
or you can contact the Department at 501-371-2750. Information is based on Arkansas Code Ann. §
23-64-509.
A. Currently License as a Nonresident in Arkansas:
If you are currently licensed as a nonresident in Arkansas and you move to Arkansas you can change over your active resident
license from your former resident state by providing Arkansas with a written request to change to a resident or use Form AID-LI-
COR. You must meet the following qualifications:
1. Your request must be received within 90 days of the cancellation of the license in your former home state. If the 90 days is
exceeded you will be required take the exam.
Your letter must contain your legal name and your Arkansas license
number.
2. You must give us a current Arkansas mailing address, resident address, and business address (if applicable). Including
phone numbers and e-mail address if they change. The information should be submitted on the change of address form
found on the website at
https://insurance.arkansas.gov/pages/industry-regulation/licensing/forms-instructions/
3. If your license is active in your former home state—you must contact your former home state to change you to a
nonresident producer/agent. We will verify the change via the national database.
4. No fee is required to change you to a resident but if your renewal is close for the non-resident license, we will request that
you send the fee in with the change to continue the license as a resident.
5. The resident license will be granted for the same lines of authority that were held in the previous state of residence.
B. If NOT licensed as a Nonresident in Arkansas:
If you are or were recently licensed in your former home state and you are not currently licensed as a nonresident in Arkansas and
move to Arkansas you must complete an application for a resident license Application AID-LI-RP for within 90 days of the move
and send the application with fee ($70.00) and you must complete the ASP-122 criminal background form and submit with a $22.00
fee. The checks must be payable to the Arkansas Insurance Department and the $22.00 check must be a business check, money
order or cashier’s check—no personal check can be accepted. If the 90 days is exceeded then you will be subject to the license
exam and pre-license education requirements. We will verify license in former home state via the national database. You must
surrender the resident license in the former home state or change it to a non-resident license. The resident license will be granted
with the same lines of authority or Arkansas equivalent line of authority that was held in the former resident home state.
**** Important Items
If you were exempt from continuing education in your former home state, that exemption will not carry over to Arkansas.
Anyone who becomes licensed as a resident after July 1, 2003, can never become exempt from continuing education. You will
be required to complete continuing education as a resident of Arkansas. There are no age exceptions.
You cannot be a resident of two states.
Your new resident license will be subject to renewal on or before your birthday not the end of the birth month as in some states.
Continuing education is due at the same time the license renews.
Form AID-LI-COR (2/13)
ARKANSAS INSURANCE DEPARTMENT
1200 WEST THIRD STREET,
LITTLE ROCK AR 72201
PHONE: 501-371-2750
FAX 501-683-2604
https://insurance.arkansas.gov/pages/industry-regulation/licensing/
WEBSITE:
Change from Nonresident to Resident
(Print or Type)
YOU MUST CONTACT YOUR FORMER HOME STATE AND CHANGE YOUR FORMER RESIDENT STATE
LICENSE TO A NONRESIDENT OR SURRENDER THE LICENSE IF YOU NO LONGER DESIRE TO BE LICENSED
IN THE FORMER STATE. THE ARKANSAS DEPARTMENT WILL ELECTRONICALLY VERIFY THE STATUS OF
THE FORMER STATE STATUS.
Date: ________________________________
Current Arkansas Nonresident License # __________________________________
Name: _________________________________________________________________________________________________
I am currently a resident of _______________________________________________ but I have moved to Arkansas and wish to
change my nonresident license to an Arkansas resident license. My resident license in the other state has been active within the
last 90days.
Signed: _________________________________________
.
Addresses:
You are required to complete the mailing and physical address (even if you cannot receive mail at the resident
address. Please complete the following: If something does not apply please put N/A.
New Mailing Address:
_____________________________________________________________________________________________________
Street Number or P.O. Box
City
Zip
New Physical Address:
______________________________________________________________________________________________________
Street Number or Route #
City
Zip
New Business Address: (if applicable)
_____________________________________________________________________________________________________
Street Number or P.O. Box
City
Zip
Contact Phone Number: ____________________________ Home Phone Number: ___________________________
Business Phone Number: ___________________________
Fax Number: __________________________________
Email Address: ________________________________________________________________________________________
Rev. 9/2012
ARKANSAS INSURANCE DEPARTMENT
LICENSE DIVISION
1200 WEST THIRD STREET, LITTLE ROCK, AR 72201
PHONE: 501-371-2750; FAX: 501-683-2604
https://insurance.arkansas.gov/pages/industry-
Website:
regulation/licensing/
RESIDENT PRODUCER TESTING AND LICENSING INSTRUCTIONS
1. a.
Applicant must complete the correct application and include the proper fee according to the following chart. Cashier’s check,
company check, or money order should be made payable to “Pearson VUE.” Please note: “Life” and “Health” are two
separate exams. Health includes accident/health/sickness. Personal Lines does not qualify for any commercial lines, but
only allows a producer to write homeowners, fire and auto coverages.
Application Type
Licensing and Exam Fees
Proper Application
Life Exam--$84
Health Exam--$84
Property/Casualty Exam-$84
Life and Health Exam $96
Producer
Crop Hail-$84
AID-LI-RP
(Agent)
Life, Health, and Property and
Casualty-$180
Life, Health and Personal
Lines-$180
1 Exam = $124
Consultant
AID-LI-RP
2 Exams = $136
1 Exam = $124
Adjuster
2 Exams = $136
AID-LI-ADJ
3 Exams = $148
Surplus Lines Broker/Producer
$1,107
AID-LI-SLB
b. EFFECTIVE MAY 1, 2006: The Arkansas Insurance Department is required to complete Criminal Background
Checks on all resident applicants. The applicant must complete the Arkansas State Police Form ASP-122 (located at the
end of the License Application). You must also attach a company, agency, money order or cashier’s check in the
amount of $22.00 made payable to the “ARKANSAS INSURANCE DEPARTMENT.” No personal checks accepted.
The completed Form ASP-122 and check made payable to the “Arkansas Insurance Department” must be attached to
your application when you send it to the Pearson VUE processing office for an examination permit.
THE ASP-122
FORM MUST BE NOTARIZED AND THE DATE SIGNED MUST BE THE SAME DATE AS THE DATE
NOTARIZED. THE ASP-122 MUST BE ON A SEPARATE PAGE THAN THE APPLICATION BECAUSE IT IS
PROCESSED IN A DIFFERENT LOCATION FROM THE APPLICATION.
c.
All completed applications must be sent to Pearson Vue to the address listed below. If the application is mailed to the Arkansas
Insurance Department, it will slow down the processing of your application. You can hand carry the application to Pearson
Vue, but the application will not be reviewed while you wait.
Pearson Vue
University Tower Building
1123 South University Avenue, Suite 915
Little Rock, AR 72204
d. If you have a criminal record involving a felony and you are not sure if your record will keep you from being licensed, you can
submit your application to Pearson Vue without the exam fee. You must also attach a statement which requests a review of your
application prior to the submission of exam fee. In addition, you must provide a full, complete and detailed statement regarding
the circumstance of the situation, arrest and conviction, and you must include arrest records, court documentation and parole
records (if parole was ordered).
1.
2. This fee includes all initial Arkansas licensing fees and the initial examination fee. These fees are fully earned when the application
is processed. These fees are not refundable.
3. The examination permit is good for only 90 days. If the applicant has not taken the examination in that period of time, a new
application and new fees will be required.
4. Once the applicant has received an examination permit, the applicant must contact Pearson VUE at 1-888-204-6259 to schedule a
test date. The test date cannot be scheduled until the applicant has the permit in hand.
5. If the applicant has held a license in another state, a letter of clearance must be submitted with the application if the previous state
does not report license information to the National Database.
6. The applicant must be at least 18 years of age or if not of legal age, minority rights must be removed by a court order and a copy of
the court order must be forwarded along with the application and fees.
7. There are pre-license education requirements that must be completed prior to taking the examination for Life,
Accident/Health/Sickness, Property, Casualty, and/or Personal Lines. A candidate must present a certificate of completion at the
time the candidate arrives for the examination. If the candidate does not have the certificate, the candidate will not be allowed to sit
for the examination. The majority of the pre-license course must be completed by classroom education, but up to 5 hours of the
pre-license education can be completed by electronic media (Arkansas Law and Ethics are excluded from electronic media self-
study). A listing of all pre-license education providers is available on the License Division Web site in the Online Searches section
at https://insurance.arkansas.gov/pages/industry-regulation/licensing/.
The course is good for 2 years from the date of
completion. The hours required are:
 Life: 20 Hours
 Health (Accident/Health/Sickness): 20 Hours
 Property: 20 Hours
 Casualty: 20 Hours
 Personal Lines: 20 Hours
8. Applicants must present two forms of positive identification at the test center on the date of examination - one with a signature and
a photograph (preferably a driver’s license), and one additional signature identification card. Candidates appearing for examination
without proper identification will not be admitted to the examination and will forfeit prepaid examination fees.
9. If the applicant fails the examination, the applicant must call Pearson VUE at 1-888-204-6259 to make a new exam reservation. A
reexamination fee of $62 for one examination or $74 for two examinations in the same exam session must be submitted at the test
center on the date of examination. Fees must be made payable to “Pearson VUE” and must be in the form of a cashier’s check,
company check, or money order. NO cash, personal checks, or credit cards will be accepted. Reexamination must occur within 90
days of the date the original examination permit was issued.
10. Any applicant failing the examination three (3) times will be required to wait 4 weeks to retake the examination.
11. The examination will be scored at the test center on the date of examination.
12. Licenses will be issued to candidates successfully completing the examination at the test center; however, in order to begin
transacting insurance business, a completed appointment form must be submitted to the Department of Insurance.
13. How to complete the License Application:
Since an application is a legal form, certain fields of information are required and must be completed prior to the application being
processed. If the required information is not disclosed on the application, the application will be returned for completion. These
instructions illustrate the specific areas of the application that must have responses before the application can be processed. If the
information is required, the item is marked “a required field,” and you must provide us with this information. If you reach a line
which is not required and the question does not apply to you, then mark the line “N/A.” However, if you have information you can
include it in the non-required filed -- one example is your e-mail address. If the Department has your e-mail address, we can send e-
mail notices of important changes to laws and rules that govern your license.
If the application is over 30 days at the time of submission, it will be returned for current information. If the application is returned
for corrections, it must be returned to the processing office within 10 working days -- if the application is not returned promptly,
then a new current application and criminal background form will be required.
2.
*This is a legal document, corrections should be made by drawing one line through the incorrect information, do not scratch out the
information or use liquid paper. Changes or corrections must be initialed by the applicant showing that the applicant made the
change. It is not legal for anyone other than the applicant to complete the application or modify it by removing or adding
information. The applicant is held liable for all the information on the application.
*Illegible applications will be returned since we will be unable to review them.
Important:
If you have a past criminal record, tax lien or other item which would normally require a “yes” answer and you are
not sure if it has been resolved, sealed, or completed, then we suggest you answer yes and provide an explanation.
When in doubt answer yes, provide an explanation and documentation, and if it is not needed the Department will
disregard the information and your application will be processed quicker. If a criminal record has been sealed, then
you should have a document signed by a judge which shows the record has been sealed. There is no time limitation
on criminal convictions -- even if it is 20 years old, it will still show up on the criminal background search. Failure
to disclose information on the application that is required can cause the application to be declined, or may be
grounds to have a license revoked at a later date.
Page 1 of Application
(1) Social Security Number---a required field
(2) If assigned, National Producer Number (NPN)
(3) If applicable, NASD Individual Central Registration Depository (CRD) Number
(4) Are you affiliated with a financial institution/bank? ---a required field
(5) Last Name--- a required field
(6) First Name-- a required field –THIS MUST BE YOUR LEGAL NAME—NO NICKNAMES.
(7) Middle Name---not required
(8) Date of Birth--- a required field
(9) Resident/Home Address-- a required field—must be a physical address cannot be a P.O. Box
(10) P.O. Box---not required but you can complete if you want mail sent to that address
(11) City--- a required field
(12) State-- a required field
(13) Zip ---- a required field
(14) Foreign Country
(15) Home phone number-- a required field---you can use cell phone number if you do not have a home phone.
(16) Gender--- a required field
(17) Are you a Citizen of the United States--- a required field—if you are not a citizen you need to attach a copy of your
permit to live and work in the United States.
(18) Business name---not a required field, but you can provide the information if you have a business Name.
(19) Business Address—not a required field
(20) P.O. Box—not a required field
3.