Request an Agency License

All insurance agencies seeking to do business in Georgia must be licensed

An agency is defined as a business entity that represents one or more insurers and is engaged in the business of selling, soliciting, or negotiating insurance. Agency also means a business entity insurance producer.

Agency licenses must be renewed every two years. To renew an existing agency license, visit the renewals page.

< Back to Agency Licensing and Renewals

Gather What You'll Need

Completed, signed, and notarized Citizenship Affidavit (GID-276-EN)
Completed Resident Agency/Business Entity Application (GID-130-AL) form
A Name Approval Acceptance Letter is required when any of the following terms appear in the agency name: Assurance, Annuity, Benefit, Discount, Fidelity, Guaranty, Health, Insurance, Indemnity, Life, Medical, Manager, Pharmacy, Reciprocal, Reassurance, Reinsurance, Settlement, Syndicate, Surety, Sharing, and Viatical
Appropriate information regarding any licensed/unlicensed officers, licensed/unlicensed employees, and company affiliations associated with the agency location
Agency’s name, license number, and FEIN or SSN
For each of the agency’s owners, officers, and/or directors who are not licensed in the state of Georgia, a completed GID-130S-AL (which can be found in Addendum 2 on the GID-130-AL form) must be submitted with the application
Form of payment for application fee

Submit Your Application

You can submit a request for agency license online, by mail, or by fax. Applying online is the fastest way to receive an agency license.

Submit online
- Access our online application system
- From the list of options, select “Apply for a License”; this will take you to the License Applications page
- Select “Other Licenses”
- Select "Firm"
- Select "Continue"
- Select your State of Residency from the drop-down menu
- Continue following the prompts as instructed to submit your information and upload any relevant documents
- Submit payment for application fee
Submit by mail
- Applying by mail is the slowest way to receive an agency license.
- Gather your completed documents and include a check or money order payable to: PSI Services LLC/Georgia Insurance Dept.
- Mail your documents and payment to:
  Bank of America Lockbox Services
  Lockbox 742983
  6000 Feldwood Road
  College Park, GA 30349
Submit by fax
- Applying by fax may result in increased processing time due to possible clarity issues or problems with submission.
- Gather your completed documents and fax them to 404-656-0874.
- You must then mail your payment to:
  Bank of America Lockbox Services
  Lockbox 742983
  6000 Feldwood Road
  College Park, GA 30349

Next Steps

Once your request for agency license has been successfully submitted, we will review your application
Online submissions should receive a response with two (2) days. Mail-in and Fax submissions should receive a response with four (4) days of receipt.
If there is an issue with your application, we will contact you
Agency licenses must be renewed every two years.
If your request is denied, you will receive a Notice of Denial stating the grounds upon which your application for licensure was refused; in this case, you have the option to file a written petition to appeal the decision within twenty (20) days of the issuance of the Notice of Denial

Visit

2 Martin Luther King Jr. Dr.
West Tower, Suite 702
Atlanta, GA 30334
United States

Open now

Sunday: closed
Monday - Friday: 8:00 a.m. - 5:00 p.m.
Saturday: closed

All in Eastern Time Zone

Contact

For questions about continuing education requirements, please call our office.

Primary:

(404) 656-2101

gainslicensing@psionline.com

Request an Agency License

How Do I Request an Agency License?

Make Sure You're Eligible

Get Prepared

Gather What You'll Need

Submit Your Application

Next Steps

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