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Foreign Form 14 - Industry UCAA
Foreign Form 14 Information Chart

The chart below identifies the requirements for mailing address and contact notification updates. A link to the application instructions (Form 14 - Change of Address/Contact Notification) are provided.

Last update: 07/19/2024
Updates to the information will be noted with a “*” next to the state name and edits will be italicized and bolded

State Accepts the UCAA
Form 14

Format Accepted: 
Electronic
Hard Copy
Both

Additional State Specific Requirements for Form 14 – Mailing Address and Contact Updates
AL Yes Both Electronic submission preferred.
AK Yes Both Officer signed and legible.
AZ Yes Electronic  
AR Yes Both Electronic submission preferred.
CA Yes Electronic  
CO No Electronic Contact and mailing address changes should be completed by the company through http://www.dora.state.co.us/pls/real/oat.main.
CT Yes Electronic Electronic submission preferred.
DE Yes Electronic Electronic submission preferred or can be emailed to us at BERG@Delaware.gov.
DC Yes Electronic  
*FL Yes Electronic Electronic submission preferred.
GA Yes Electronic Electronic submission is preferred. The Georgia state specific form GID-351-RS can be requested from Keyatta Kelly kkelly@oci.ga.gov.
HI Yes Both Electronic submission preferred.
ID No   Contact and mailing address changes should be completed by the company through State Based Systems. The Department will no longer process changes from UCAA Form 14. Please visit www.statebasedsystems.com and select “Idaho” from the jurisdiction dropdown.
IL Yes Electronic Electronic submission preferred. Cannot change statutory home office city in Illinois using Form 14.  
IN Yes Electronic

Company may update available addresses via the Company/Entity Address Portal. Link is located on the IDOI website at IDOI: Company/Entity Financial Compliance under the Resources section. If individual making the updates doesn’t have the required PIN# they may select the “Need PIN?” link to display the current PIN contact. If PIN contact isn’t established or needs to be updated a request can be submitted to fnclsvcs@idoi.in.gov .

IA Yes Both Electronic submission preferred.
*KS No   Contact and mailing address changes should be completed by the company through State Based Systems. The Department will no longer process changes from UCAA Form 14. Please visit www.statebasedsystems.com and select “Kansas” from the jurisdiction dropdown. Options for insurance companies are under “SBS For Organizations”. 
KY Yes Electronic  
LA Yes Both http://ldi.la.gov/industry/company-licensing/company-contact-changes.
ME Yes Electronic  
MD Yes Electronic  
MA Yes Electronic  For a Massachusetts domestic insurer, the principal office address can only be changed by filing a Certificate of Change of Principal Office. Insurers must file this form with the Secretary of the Commonwealth pursuant to Massachusetts Insurance Laws - General Laws, Chapter 175, Section 34. Instructions - https://www.mass.gov/doc/domestic-company-home-office-address-change/download Form - download (mass.gov)
MI Yes Both Electronic submission preferred.
MN Yes Electronic  
MS Yes Electronic  
MO Yes Electronic  
MT Yes Electronic  
NE Yes Both Prefer companies update information through SBS; however will accept Form14.
NV No   Nevada requires all licensed companies to make contact/addresses (excluding statutory home office address)/email address updates through the Nevada Company Address Change Service Portal on the Nevada Division of Insurance webpage at https://doi.nv.gov/Insurers. Contact state for requirements and pin number at finances@doi.nv.gov. Statutory home office address changes require a UCAA Corporate Amendment Application.
NH Yes Electronic  
NJ Yes Electronic

UCAANotifications@dobi.nj.gov. As applicable, certain contact and mailing address (excluding Home Office and Statutory Address) changes should be completed by the company through State Based Systems.

NM Yes Electronic Electronic submission preferred.
NY Yes   The Life Bureau will accept the UCAA electronic submission. The Property Bureau will accept the UCAA electronic submission. The Health Bureau requests that hard copies be mailed to the Health Bureau and email copies be sent to: HealthBureauRegulatory@dfs.ny.gov.  All filings should be submitted to the appropriate NYDFS portal which should be indicated on the NYDFS website.
NC Yes Electronic  
ND Yes Electronic Electronic submission preferred.
OH Yes Both Electronic submission preferred.
OK Yes Electronic  
OR Yes Electronic  
PA Yes Electronic  
PR Yes Both Contact state for requirements.
RI Yes Electronic  
SC Yes Electronic Electronic submission preferred.
SD Yes Electronic  
TN Yes Electronic  
TX Yes Electronic UCAA electronic application.
UT Yes Both If in hard copy, email to company-renewals@utah.gov.
VT Yes Both If hard copy, Email to DFR.CompLic@vermont.gov.
VA Yes Both Prefer to receive in both hard copy and electronically.
WA Yes Electronic  
WV Yes Electronic Electronic submission preferred.
WI Yes Both Electronic submission preferred.
WY No   Submit via the Wyoming Insurance Department Address Change portal.