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Insurance Licensing - Request a Duplicate or Replacement License

Replace License

Instructions

Notice: New or renewal licenses will be mailed to you. Licenses cannot be printed online.

Adobe Acrobat Reader is required to fill the document. A free copy of the Reader may be downloaded from the  Adobe website.

The Division of Insurance will process your request for a duplicate or replacement license for a fee of $25.00.
Please make check payable to the Commonwealth of Massachusetts.

In order to process your request, please download and fill in the Replacement License  request form.  Then save and / or print the form and mail it to the Division of Insurance with the fee due to:
 

Division of Insurance
1000 Washington Street Suite 810
Boston, MA 02118-6200
Attn: Producer Licensing Department

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