Office of the Lieutenant Governor, VI · St. Thomas
Certificate of Authority Renewal Application
Insurance companies and other listed organizations use this application to renew a Certificate of Authority, Certificate of Licensure, or permit in the U.S. Virgin Islands.
What this form is
The Division of Banking, Insurance and Financial Regulation uses this application to collect information for renewing an organization’s Certificate of Authority, Certificate of Licensure, or permit. The memorandum says licenses expire on December 31 each year and asks companies to submit the completed application with the applicable renewal fee. It requests company, address, insurance, organization, and contact-person details, along with authorized-signatory and agent information.
Who needs it
Foreign, domestic, and alien insurance companies, mutual nonprofit benefit societies, and rating organizations authorized to conduct business in the U.S. Virgin Islands use this renewal application.
How to submit it
Mail the application to the Office of the Lieutenant Governor, Division of Banking, Insurance and Financial Regulation, #5049 Kongens Gade, Charlotte Amalie, St. Thomas, USVI 00802-6487, with the applicable renewal fee.
About notarization
This document is signed and dated without a notary; the application does not identify a notarized or sworn attachment or related step.
How to submit this form
- 1
Download The Application
Download the Certificate of Authority Renewal Application and memorandum.
- 2
Complete The Application
Provide the requested company, insurance, address, contact, authorized-signatory, and agent information.
- 3
Gather Required Items
Include the applicable renewal fee with the completed application.
- 4
Mail It To The Division
Mail the application and fee to the Division of Banking, Insurance and Financial Regulation at the address listed in the memorandum.
Frequently asked questions
- What does the Certificate of Authority Renewal Application do?
- It collects company, insurance, address, contact, authorized-signatory, and agent information for renewal of a Certificate of Authority, Certificate of Licensure, or permit.
- Who uses this renewal application?
- The memorandum addresses foreign, domestic, and alien insurance companies, mutual nonprofit benefit societies, and rating organizations authorized to conduct business in the U.S. Virgin Islands.
- How do I submit the Certificate of Authority Renewal Application?
- Mail the completed application and applicable renewal fee to the Division of Banking, Insurance and Financial Regulation at #5049 Kongens Gade, Charlotte Amalie, St. Thomas, USVI 00802-6487.
- Do I need a notary for the Certificate of Authority Renewal Application?
- No. This application is signed and dated without a notary, and it does not identify a notarized or sworn attachment or related step.
Need something notarized?
This Certificate of Authority Renewal Application doesn’t need a notary — but if you have another Office of the Lieutenant Governor form that does, a commissioned online notary can help.