Do I need a notary for the individual insurance renewal application?

No. The application is signed and dated without a notary. It requests supporting documents for some answers, but does not say those documents must be notarized or sworn.

What information does the renewal application ask for?

It asks for license type, applicant identification and contact details, license-specific information, background answers, and the applicant’s certification and signature.

What renewal items may be needed with the application?

The form lists a renewal fee and, depending on the applicant, bonds, a tax clearance letter, and an appointment of producer. Some applicants must also attach documents based on their answers.

Office of the Lieutenant Governor, VI · St. Thomas

No notary required

Renewal Insurance Application for Residents or Non-Residents (Individual)

Individual resident and non-resident insurance licensees use this application to request renewal and provide licensing, contact, background, and certification information.

What this form is

This application is for individuals renewing resident or non-resident insurance licenses, with separate applications required for each license type. It asks for license and applicant details, business and residence addresses, and information relevant to the applicant’s license category and background. The applicant certifies the information, signs and dates the application, and provides applicable renewal items, such as fees, bonds, tax clearance, or appointments.

Who needs it

Individuals renewing a resident or non-resident insurance license, including producers, adjusters, brokers, solicitors, and managing general agents, use this application.

How to submit it

The form names the Division of Banking, Insurance and Financial Regulation and lists its St. Thomas address as 5049 Kongens Gade, St. Thomas, Virgin Islands 00802. It says to make any check or money order payable to the Government of the U.S. Virgin Islands.

About notarization

This application is signed and dated without a notary; the form calls for applicable supporting documents, but does not say any must be notarized or sworn.

How to submit this form

1
Download The Application
Download the individual resident or non-resident insurance renewal application.
2
Complete The Application
Select the license type and complete the applicable applicant, address, license-category, and background sections.
3
Gather Required Items
Include applicable renewal fees, bonds, tax clearance, appointment information, and supporting documents required by your answers.
4
Submit To The Division
Submit the application to the Division of Banking, Insurance and Financial Regulation using the contact information listed on the form.

Frequently asked questions

Do I need a notary for the individual insurance renewal application?: No. The application is signed and dated without a notary. It requests supporting documents for some answers, but does not say those documents must be notarized or sworn.
How do I submit the individual insurance renewal application?: The form names the Division of Banking, Insurance and Financial Regulation and lists 5049 Kongens Gade, St. Thomas, Virgin Islands 00802. It says checks or money orders are payable to the Government of the U.S. Virgin Islands.
What information does the renewal application ask for?: It asks for license type, applicant identification and contact details, license-specific information, background answers, and the applicant’s certification and signature.
What renewal items may be needed with the application?: The form lists a renewal fee and, depending on the applicant, bonds, a tax clearance letter, and an appointment of producer. Some applicants must also attach documents based on their answers.

Need something notarized?

This Renewal Insurance Application for Residents or Non-Residents (Individual) doesn’t need a notary — but if you have another Office of the Lieutenant Governor form that does, a commissioned online notary can help.