logo

Yes Responses

Please upload the required documentation to your Sircon application or to the NIPR Attachment Warehouse (depending on which site was used to apply) and notify the Division that it has been uploaded. Unless otherwise noted, documentation must be submitted within 45 days or the application may be withdrawn. All application fees are nonrefundable.

Sircon Upload Instructions

  1. Click here to search for your Sircon application
  2. Enter the application Confirmation ID; SSN; Producer Type and click Submit
  3. Click on the paperclip icon
  4. Browse for the file you wish to upload, enter a Description and click Attach
  5. After all documents have been attached, click Submit at the bottom the screen

NIPR Upload Instructions

  1. Click here to go to the NIPR Attachments Warehouse main page
  2. Click on Sign-in BQSD
  3. Read and accept the Use Agreement
  4. Provide your Resident State; Resident License Number; National Producer Number; Last 4 of SSN/FEIN or provide your Full SSN/FEIN; Firm/Last Name and click Login
  5. Verify and/or Edit contact information
  6. Click Add New Document and follow the on-screen instructions.

Status Checks

Status checks may be performed by periodically checking the Division's Nevada License Verification Tool to verify if the license has been approved.  Additionally, third-party application sites (Sircon, NIPR, etc.) may send an email to the applicant when the status of an application changes. 

If you have answered ‘Yes’ to any screening questions, please allow 45 days from the date you supply all required documentation prior to contacting the Division to check on the status of your application.


Question #1

Have you ever been convicted of a misdemeanor, felony or military offense, had a judgment withheld or deferred, or are you currently charged with committing a misdemeanor, felony or military offense?

 

 "Conviction" includes, but is not limited to, having been found guilty by verdict of a judge or jury, having entered a plea of guilty or nolo contendere or no contest, or having been given probation, a suspended sentence, or a fine, whether or not any time was spent in jail, and whether or not you believe the conviction has been removed from your record.

 

You may exclude the following misdemeanor convictions or pending misdemeanor charges: traffic citations, driving under the influence (DUI), driving while intoxicated (DWI), driving without a license, reckless driving, or driving with a suspended or revoked license. You may also exclude juvenile adjudications (offenses where you were adjudicated delinquent in a juvenile court).

 

For each disclosed event, please provide:

  • A copy of the charging documents (contact the reporting agency/adjudicating court; if documents are no longer available, the applicant must provide a statement from the reporting agency to this effect);
  • A copy of the official documents which demonstrate the resolution of the charge(s) or any final judgment(s) (contact the reporting agency/adjudicating court; if documents are no longer available, the applicant must provide a statement from the reporting agency to this effect), and;
  • A signed explanation detailing the circumstances surrounding the arrest and/or conviction.


Question #2

Have you ever been named or involved as a party in an administrative proceeding, including FINRA sanction or arbitration proceeding regarding any professional or occupational license or registration?

 

“Involved” means having a license censured, suspended, revoked, canceled, terminated; or, being assessed a fine, a cease and desist order, a prohibition order, a compliance order, placed on probation, sanctioned or surrendering a license to resolve an administrative action. “Involved” also means being named as a party to an administrative or arbitration proceeding, which is related to a professional or occupational license, or registration. “Involved” also means having a license, or registration application denied or the act of withdrawing an application to avoid a denial. INCLUDE any business so named because of your actions in your capacity as an owner, partner, officer or director, or member or manager of a Limited Liability Company. You may EXCLUDE terminations due solely to noncompliance with continuing education requirements or failure to pay a renewal fee.

 

For each disclosed event, please provide:

  • An official document from the issuing authority stating the charges/allegations;
  • An official document demonstrating the resolution, and;
  • A signed explanation detailing the circumstances surrounding the action.


Question #3

Has any demand been made or judgment rendered against you or any business in which you are or were an owner, partner, officer or director, or member or manager of a limited liability company, for overdue monies by an insurer, insured or producer, or have you ever been subject to a bankruptcy proceeding?

Do not include personal bankruptcies, unless they involve funds held on behalf of others.

 

For each disclosed event, please provide:

  • A signed statement detailing indebtedness, repayment plan and/or type and location of bankruptcy, and;
  • A copy of discharge documents if applicable.


Question #4

Have you been notified by any jurisdiction to which you are applying of any delinquent tax obligation that is not the subject of a repayment agreement?

 

For each disclosed obligation, please provide:

  • A detailed, signed statement explaining the reason for indebtedness, the jurisdiction to which the obligation is owed, and;
  • A detailed plan to resolve the obligation.


Question #5

Are you currently a party to, or have you ever been found liable in, any lawsuit, arbitrations or mediation proceeding involving allegations of fraud, misappropriation or conversion of funds, misrepresentation or breach of fiduciary duty?

 

For each disclosed event, please provide:

  • An official document that commenced the lawsuit/arbitration;
  • An official document which demonstrates the resolution or any final judgment, and;
  • A signed statement explaining the details of the incident.


Question #6

Have you or any business in which you are or were an owner, partner, officer or director, or member or manager of a limited liability company, ever had an insurance agency contract or any other business relationship with an insurance company terminated for any alleged misconduct?

 

For each disclosed event, please provide:

  • Copies of all relevant supporting documents, and;
  • A signed statement summarizing each incident & explaining why you feel this incident should not prevent you from receiving a license.


Question #7

Do you have a child support obligation in arrearage?

 

Applicants for a license or renewal who indicate in their application that they have a child support obligation must indicate how many months are they in arrearage, if they are currently subject to and in compliance with any repayment agreement, and if they are the subject of a child support related subpoena/warrant.

 
For each disclosed obligation, please provide:

  •  Current documentation (no older than 30 days) from the appropriate state child support agency showing arrearage amount and proof of satisfactory payments, or;
  •  Documentation from the appropriate state child support agency showing an approved repayment plan.