MI | Effective immediately, the FIS 0261 Insurance License Document Request Form previously used to request a Clearance Letter, Certification Letter, Duplicate License or a License History has been removed from the Insurance Licensing Forms section of the DIFS Forms web page.
DIFS will continue to accept completed FIS 0261 Insurance License Document Request forms until August 31, 2018. After this date, the FIS 0261 form will not be processed. You must use the new forms and procedures outlined below.
Use the FIS 2329 Clearance Letter Request Form to surrender your Michigan resident individual license and receive a Clearance Letter to provide to the new home state for licensure.
Use the FIS 2328 Voluntary Surrender Request Form to surrender your entire license or specific lines of authority. All surrender requests received by DIFS on any other form will be returned.