Customer Services and Fees

The following is a list of customer services and fees. To request these items, please contact the Mississippi Insurance Department Licensing Division by telephone at 601 359 3569, by fax at 601 359 1951 or by mail at P.O. Box 79, Jackson, MS 39205. All requests must be written.

  • Change of Address - no fee - form, online
  • Duplicate License -$25.00 - form
  • Letter of Certification (Letter of Good Standing) - $20.00 - form, online
  • Letter of Clearance - $20.00 - form
  • Certificate of Authority - $25.00 (local agent): $25.00 (general agent)
  • License Amendment - $25.00 - form

The following services are available online at Sircon: