The Texas Fin533 form is a crucial document that allows licensed agents and adjusters to request a change of name or address with the Texas Department of Insurance. It is essential to submit this form within 30 days of any changes to ensure that your licensing information remains accurate and up to date. Whether you have relocated or changed your legal name, completing this form helps maintain compliance with state regulations.
When it comes to maintaining your insurance license in Texas, staying updated with your personal information is crucial. The Texas Fin533 form serves as an essential tool for licensed agents and adjusters who need to notify the Texas Department of Insurance about changes to their name or address. If you’ve recently moved or experienced a name change, you must submit this form within 30 days to ensure your records remain accurate. The process is straightforward, requiring you to provide your TDI license number, current contact details, and, if applicable, documentation supporting your name change, such as a marriage certificate or divorce decree. For those who have moved out of Texas, it’s important to reach out to the insurance department in your new state before making this submission. Conversely, if you’re a licensed professional relocating to Texas from another state, you’ll need to complete a different form, known as FIN594. By keeping your information current, you help ensure a seamless transition in your professional journey.
FIN533 | 0421
Agent/adjuster name or address change request
You must fill out and send us this form within 30 days of a change to your name or address.
Notes: If you’ve moved from Texas to another state, contact the department of insurance in your new state before submitting this form. You must have a license in your new state of residence before we can change your Texas license to a nonresident license.
If you’re a licensed agent or adjuster in another state who has moved to Texas, you must fill out form FIN594.
TDI license number
First name
Middle name
Last name
Suffix
►Fill out this section if you changed your name:
New legal name
📎📎Attach a copy of an official document showing that your name changed. For example, send a copy of a marriage certificate or divorce decree.
►Fill out all parts of this section if your address changed:
Phone numbers
Personal ( )
Business ( )
Email addresses
Personal
Business
Business address
Street address ________________________________
City
State
_
ZIP
Mailing address
Street address or P.O. Box
📎📎 A P.O. Box will be accepted only for a mailing address.
Resident address
Street address
_ ZIP
📎📎 Attach a copy of a Letter of Certification from your resident state.
►Sign here:
The answers I gave on this form are true and correct:
Licensee signature
Date
Print name
►Contact us if you have questions:
You can: (1) email License@tdi.texas.gov, or (2) call 512-676-6500.
►Know your rights:
You can request information we have about you by emailing OpenRecords@tdi.texas.gov or writing to: Public Information Coordinator, Texas Department of Insurance, PO Box 12030 (mail code GC- ORO) Austin, Texas 78711-2030. You also have the right to ask that we fix information we have about you that is wrong. To ask for a correction, send (1) your name, mailing address, and your phone number, (2) details about what needs to be fixed, and (3) the reason or proof showing why the information is wrong. Send this by email to RecordCorrections@tdi.texas.gov or by mail to: Record Correction Request, Texas Department of Insurance, PO Box 12030 (mail code CO-AAL-CC), Austin, Texas 78711-2030.
Texas Department of Insurance
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