Texas Form Fin533 PDF Details

In the realm of professional licensing in Texas, maintaining accurate and up-to-date personal information is crucial for agents and adjusters. The Texas Fin533 form serves as a vital tool for these individuals when a need arises to update their name or address with the Texas Department of Insurance (TDI). Submission of this form is mandated within 30 days after any change to an agent or adjuster's name or address to ensure compliance and the continued validity of their license. Important to note is the process for those moving across state lines, which involves obtaining a license from the new state before converting a Texas license to a non-resident status. Additionally, the form accommodates adjustments for both name and address changes, requiring supporting documentation for name changes such as marriage certificates or divorce decrees. For address modifications, different sections allow for updates to personal, business, and mailing addresses, with specific instructions for each. Highlighting the importance of communication, the form provides contact information for queries and outlines rights regarding personal information, including the procedure to request or correct records held by the TDI, thereby ensuring not only compliance but also the protection and accuracy of the licensee's information.

QuestionAnswer
Form NameTexas Form Fin533
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other nameslicensee change, texas change request, change texas tdi, tx licensee name change

Form Preview Example

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

First name

Middle name

Last name

Suffix

📎📎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

FIN533 | 0421

Business address

 

 

 

 

 

 

 

 

 

 

Street address ________________________________

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

_

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address

 

 

 

 

 

 

 

 

 

 

Street address or P.O. Box

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

State

_

ZIP

 

 

 

 

 

 

 

 

 

 

 

 

 

📎📎 A P.O. Box will be accepted only for a mailing address.

Resident address

Street address

City

 

State

_ 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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