Voluntary Surrender of a License

Licensed individuals and firms can surrender an entire license, or specific lines of authority using the Voluntary Surrender form. You must indicate if you are surrendering the entire license or only specific lines of authority. The surrender form must be signed in ink or with a digital signature (Adobe, Windows, DocuSign, etc.).

Some specialty license types, such as Third-Party Administrators and Service Contract Providers, have additional requirements when surrendering a license. Please visit the corresponding webpage for your license type or contact our Specialty Licensing department at (775) 687-0700, option 2 to confirm what is required to surrender your license.