Application For Life Settlement Provider License

​​​​​​​​​​​​​​​​Last Updated: October 15, 2026

Application For Initial and Renewal, Li​fe Settlement Provider License
Section 632.69, Wis. Stat.

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To view any of the listed statutes, see the Wisconsin Revisor of Statutes website .

Application Forms

Initial Application Forms

Application Forms


Renewal Application Forms

Annual Statement (Due by March 1)

Renewal Application​ (Due by July 1)

OCI now offers the use​ of OPTins to pay renewal fees. View information regarding the use of OPTins.


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 completed below.

Designation of Registered Agent for Service of Process​​


Please direct questions to Company Licensing Specialist at ocicompanylicensing@wisconsin.gov. (Include your name, phone number, and email address.)


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