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Ohio Department of Insurance Agent / Agency Services

Duplicate License Request
  • Complete all required fields below. Required fields are marked with an *.
  • You can request a new license by writing to the License Division of the Ohio Department of Insurance at 50 W. Town Street, Third Floor - Suite 300, Columbus, Ohio 43215, faxing to (614) 644-3475, or by emailing ohiolicense@insurance.ohio.gov. Please include your name, license number and/or NPN, and a mailing address.
  • Please allow 24 hours advance notice when picking up licenses in person. All requests are required to be submitted by the actual agent or agency only. Thank you.
  • Click here for a printable version of this form.
Agent / Agency Name:*
License Number:*
  Mail License To:
Address 1:*
Address 2 
City:* State:* Zip Code:*
Phone Number:*
Email Address:*
 
 

The State of Ohio is an Equal Opportunity Employer

50 W. Town Street, Third Floor - Suite 300   Columbus, Ohio   43215
General Info: 614-644-2658  |  Consumer Hotline: 800-686-1526  |  Fraud Hotline: 800-686-1527  |  OSHIIP Hotline: 800-686-1578