Updates to the way license change requests will be handled

THE STATE OF WYOMING Mark Gordon Department of Insurance Jeffrey P. Rude Governor Commissioner 106 E. 6th Ave. ▪ Cheyenne, Wyoming 82002 Administration (307) 777-7401 ▪ Fax (307) 777-2446 ▪ https://doi.wyo.gov/ ▪ Licensing (307) 777-7319 ▪ Consumer Affairs (307) 777-7402 2025 ADDITIONAL STATE SERVICES PROCESS CHANGES As of June 1,2025 the Wyoming Department of Insurance will no longer accept paper form(s) for the below services. * Letter of Clearance * Voluntary Surrender * Name Change * Address Change These services need to be submitted on-line through Sircon.com. Select the Additional State Service Request and then the reason for the request and the required form. This process requires a form to be completed and attached to the request. There is no charge for this service however, there is a $3.50 processing fee. Questions concerning these changes may be sent to the licensing section at insurancelicensing@wyo.gov or by phone at (307) 777-7319. Lisa Hastings Licensing Supervisor Lisa.hastings2@wyo.gov