THIS FORM IS TO BE USED TO CHANGE THE FOLLOWING: - tdi texas 2025

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your TDI License Number exactly as it appears on your license or renewal application.
  3. Fill in the Name of Agent/Agency, ensuring it matches the name on your license.
  4. If you are requesting a name change, provide your new name and attach any required supporting documentation such as a marriage certificate or divorce decree.
  5. Complete the Mailing Address section with your official address for notifications. Ensure all fields are filled accurately.
  6. For individuals, fill out the Resident Address section with your current living address. Note that P.O. Boxes are not allowed here.
  7. Provide your Business Address if applicable, keeping in mind that this is for reference only and will not be used for official correspondence.
  8. Enter your Daytime Phone Number and Email Address for contact purposes.
  9. Sign and date the form at the bottom before submitting it via mail, email, or fax as indicated.

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2022 4.1 Satisfied (23 Votes)
2021 4.8 Satisfied (200 Votes)
2020 4.2 Satisfied (150 Votes)
2019 4.1 Satisfied (81 Votes)
2015 4.4 Satisfied (586 Votes)
2015 4.2 Satisfied (156 Votes)
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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
Contact us
Cancel license To cancel your license, complete the Voluntary Surrender form and send it to CE@tdi.texas.gov.
Update your name by filling out the Agent / adjuster name or address change request form (FIN533).
You need to send an application to your new states insurance department for a transfer. Most of the time its not necessary to re-take all the coursework and exams for a new license. Many states want to see that youve had your license for some predetermined amount of time before you send this application.
Have a complaint or question? InsuranceTelephone Number Texas Department of Insurance Main 800-578-4677 Fraud Unit 800-252-3439 Agent Adjuster Licensing Office 512-676-6500 Windstorm Inspections 800-248-60326 more rows
The Texas Department of Insurance regulates the states insurance industry, oversees the administration of the Texas workers compensation system, performs the duties of the State Fire Marshals Office, and provides administrative support to the Office of Injured Employee Counsel a separate agency.
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