The Oregon Insurance Division no longer accepts paper applications. 

Apply and renew through NIPR. Non-resident adjusters with no home state and third-party administrators renew through SBS.

Address/Name Change Form (1996):
Word | PDF

Affiliation/Unaffiliation of Producer, Adjuster, or Insurance Consultant (2139)
Word | PDF

Application for Written Consent (4611) 
Word | PDF 

Continuing-Education Credit for an Unregistered Course (2179): 
Word | PDF 

Continuing-Education Proctor Certification (3128): 
Word | PDF 

Continuing-Education Proctor Registration (3127): 
Word | PDF 

Insurance Experience Qualification Form (2492): 
Word | PDF 

Life Settlement Broker Appointment/Affiliation Notice (3025): 
Word | PDF

Pre-examination Training Exemption Request (2493): 
Word | PDF 

Temporary Adjuster Permit Application (3901): 
Word | PDF 

Termination of Appointment Notice (3003): 
Word | PDF 

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