Application for Property Service Contract Provider/Administrator

​​Last Updated: August 21, 2018

Application for Licensure/Registration Property Service Contract Provider/Administrator
Chapter 616, Wis. Stat.

The following are documents which must be completed and returned with the Application for Licensure as a Provider of Property Service Contracts or the Application for Registration as a Service Contract Administrator. Any questions about the application should be directed to Ms. Kristin Forsberg (608-266-9896) or kristin.forsberg@wisconsin.gov​.

Please note that Service Contract Administrators as defined in s. 616.54 (1), Wis. Stat., must register as an Administrator.

No application will be considered completed until all items on the application form have been completed and all required forms have been completed, filed, and approved.


Application Packet Forms

The application packet forms are available to be downloaded below.

Application for Licensure - Property Service Contract Provider

Registration for Property Service Contract Administrator


Wisconsin Insurance Laws and Regulations​


 

Designation of Registered Agent for Service of Process

A Designation of Registered Agent for Service of Process (OCI 12-014) form is available to be downloaded below.

Designation of Registered Agent for Service of Process

Fill and Print Version


Property Service Contract Policy Form Submission Instructions (for Service Contract Providers - Not Applicable to those registered as Service Contract Administrators only)

Service contract forms may be submitted in the System for Electronic Rate and Form Filing (SERFF) prior to receiving a certificate of authority. The instructions and forms for filing the service contracts for approval are available through SERFF. Further information about SERFF is available at http://www.serff.com.


 

Please direct questions to: ocifinancial@wisconsin.gov (please include your name, phone number, and e-mail address).​