Alabama Department of Insurance fax number

Fax destination details

Department

Producer Licensing

Purpose

Submitting producer licensing documents (e.g., designation forms, license applications, renewals) to the Alabama Department of Insurance, Producer Licensing division. Fax to 334-240-3282 or email to producerlicensing@insurance.alabama.gov.

Form

AL-DP 1 (12/2012) — Designated Responsible Producer Form

Address

201 Monroe Street, Suite 502, Montgomery, AL 36104

Voice phone

334-241-4126

Website

Visit organization website

Before you send

• Confirm that this exact department handles your document or request.
• Check the organization website or call its main line for the current fax number.
• Include a cover sheet and any case, member, claim, or form reference required.
• Keep the delivery confirmation with your submission records.

Use this form to designate a responsible producer for a firm. Complete the entity name, FEIN, license numbers, and designate the responsible individuals; then fax to 334-240-3282 or email to producerlicensing@insurance.alabama.gov.

Official form instructions are published as a downloadable file on the organization's website.