Residents:

• Form FIS-0202. There are two types of application: one to print and then fill out, one to fill out and then print. Either is acceptable.
• $10.00 application fee in the form of a money order, certified check, or company check made payable to the State of Michigan. Personal checks are not acceptable.

  NOTE: Specify type of entity and requested qualification on page 2 of the application

Non-residents:

• Uniform Application for Non-Resident Business Entity Insurance License/Registration
• $10.00 application fee in the form of a money order, certified check, or company check made payable to the State of Michigan. Personal checks are not acceptable.

  NOTE: Specify type of entity and requested qualification on page 2 of the application.

Surplus Lines Agency

Residents:

• Form FIS-0202. There are two types of application: one to print and then fill out, one to fill out and then print. Either is acceptable.
• $110.00 application fee in the form of a money order, certified check, or company check made payable to the State of Michigan. Personal checks are not acceptable.

NOTE: Specify type of entity and requested qualification on page 2 of the application.

Non-residents:

• Uniform Application for Non-Resident Business Entity Insurance License/Registration
• $110.00 application fee in the form of a money order, certified check, or company check made payable to the State of Michigan. Personal checks are not acceptable.

NOTE: Specify type of entity and requested qualification on page 2 of the application.