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Request for Company Renewal

Pursuant to District of Columbia Code, all licensed and/or registered insurance entities must renew their license(s), registration(s), and/or Certificate(s) of Authority (where applicable) annually by May 1.

INSTRUCTIONS: Complete, sign, and submit this renewal request with the appropriate check amount payable to the DC Treasurer to the attention of the assigned Licensing Specialist after January 1, but no later than April 30, at the designated P.O. Box address.