Fis 2328-2026

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The document is a Voluntary Surrender Request Form for insurance licensees in Michigan, requiring completion by the licensee or an authorized representative. It outlines the process for surrendering an entire insurance license or specific lines of authority, including necessary personal information and attestation. The form must be submitted via mail, fax, or email to the Department of Insurance and Financial Services.

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Click ‘Get Form’ to open the fis 2328 in the editor.
Begin by entering the required information about the licensee. Fill in the last name or agency name, first name, middle name or initial, suffix, Michigan System ID number, and National Producer Number.
Indicate your understanding of voluntarily surrendering your entire Michigan insurance license by checking the appropriate box.
Select the type of license you wish to surrender from the provided options. Ensure you check all relevant boxes for Producer, Counselor, Solicitor, etc.
If you wish to maintain your Michigan insurance producer license but surrender specific lines of authority, check the corresponding boxes for Life, Accident & Health, Property, etc.
Complete the attestation section by signing and providing your printed name and title if applicable. Don’t forget to include your email address and date signed.
Once completed, submit the form via mail, fax, or email as instructed at the bottom of the document.

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Versions	Form popularity	Fillable & printable
2020	4.8 Satisfied (45 Votes)
2018	4.4 Satisfied (169 Votes)
2018	4.1 Satisfied (52 Votes)

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Why would insurance suspend your license?

Financial Responsibility Laws If a driver cannot prove financial responsibility, they may face unpaid insurance claim penalties such as drivers license suspension, especially if they fail to pay for the damages.

What would be a valid reason for suspending or revoking an insurance producers license?

Violating a state insurance law, regulation, or subpoena in the agents domicile state or any other state. Trying to get licensed through misrepresentation or fraud. Illegally withholding, misappropriating, or converting any money or property received while doing business as an agent.

What is the hardest insurance license to get?

Each insurance licensing exam presents its own challenge. Between Life and Health, students say that the Health insurance exam is the more difficult. Health insurance policies are simply more complicated than life insurance policies. The Property insurance exam is easier than the Casualty insurance exam.

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What is a reason your insurance may be revoked?

Using fraudulent, coercive, or dishonest practices or demonstrating incompetence, untrustworthiness or financial irresponsibility while conducting business in your state or elsewhere. Having your agent license in another state, province, district, or territory denied, suspended, or revoked.

What does it mean to voluntarily surrender your license?

In the United States, voluntary surrender is when a licensee chooses voluntarily to surrender ones license or voluntarily agrees not to renew ones license, usually to resolve outstanding complaints instead of going through the process of revocation or suspension.

Which of the following would be a valid reason for suspending or revoking an insurance agents license?

Expert-Verified⬈(opens in a new tab) The valid reasons for suspending or revoking an insurance agents license include fraudulent activities, failure to meet licensing requirements, and misrepresentation of policies. Therefore, the answer is 4) All of the above.

Fis 2328-2026

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