Available on this site are the current appointment and termination forms. These forms are available for use only by those companies who have qualified for the exemption from the electronic appointment process.

Wisconsin requires electronic appointments and terminations. Log on to www.nipr.com to obtain information on vendors authorized by NIPR or www.sircon.com/wisconsin for information on services provided by Sircon Corporation.

Note that you will need an Adobe Acrobat Reader to view or print the forms
listed below, which you can download at no cost from Adobe .

The links below will open in a new window.

Resident/Nonresident Agent Appointment (OCI 11-001)
Notice of Termination (OCI 11-011)

For further information contact:

Agent Licensing Section
Office of the Commissioner of Insurance
P. O. Box 7872
Madison, WI 53707-7872
(608) 266-8699