Surrender a License


A surrender is when an insurance professional tells the Department of Insurance in writing (using Form L-SURR) that the person wants to relinquish part or all of the insurance license. Generally, you will only need to surrender license authority if an employer prohibits you from having the license authority. If you are no longer acting under an insurance license, you can allow it to expire - you do not need to surrender the license.

IMPORTANT! If you surrender license authority in Arizona, you cannot reapply for that license authority in Arizona for one year. If you surrender the entire Arizona insurance license, you cannot apply for another Arizona insurance license for one year. ARS §20-289(F).


  1. You must have Adobe Acrobat Reader software installed on your computer to download and use the forms. Adobe Acrobat Reader software is available for free from Adobe's web site (
  2. Download Form L-SURR and save it to your computer.
  3. Complete the form on your computer and print it out.
  4. Send or deliver the original of the completed form to the Insurance Licensing Section.

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