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Form 14 - Industry UCAA | NAIC
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.

Updates to the information will be noted with a “*” next to the state name and edits will be italicized and bolded.
Last update: 11/03/2020

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   Contact and mailing address changes should be completed by the company through http://www.dora.state.co.us/pls/real/oat.main.
CT Yes Both Electronic submission preferred.
DE Yes Electronic  
DC Yes Electronic  
FL Yes Both Electronic submission preferred.
GA Yes Electronic Electronic submission is preferred. The Georgia state specific form GID-351-RS can be requested from Bruce Williamson at bwilliamson@oci.ga.gov.
HI Yes Both Electronic submission preferred.
ID Yes Electronic  
IL Yes Electronic  
IN Yes Electronic  
IA     Contact state for requirements.
KS Yes Electronic  
KY Yes Electronic  
LA Yes Both http://ldi.la.gov/industry/company-licensing/company-contact-changes
ME Yes Electronic  
MD Yes Electronic  
MA     Contact state for requirements.
MI Yes Electronic  
MN Yes Both Electronic submission preferred, if in hard copy - email to companylic.commerce@state.mn.us.
MS Yes Electronic  
MO Yes Electronic  
MT Yes Electronic  
NE Yes Both Electronic submission preferred.
NV     Contact state for requirements.
NH Yes Electronic  
NJ Yes Electronic  
NM Yes Electronic Electronic submission preferred.
NY Yes   The Life Bureau prefers both the UCAA electronic submission and hard copies, especially for large files that are easily readable in hard copy format.  The Property Bureau requires the submission of  two hard copies in addition to 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.
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     Contact state for requirements.
RI Yes Electronic  
SC Yes Both Electronic submission preferred.
SD Yes Electronic  
TN Yes Electronic  
TX Yes Electronic Electronic submission preferred
UT Yes Both If in hard copy, email to dneal@utah.gov.
VT Yes Both  
VA Yes Both Prefer to receive in both hard copy and electronically.
WA Yes Electronic  
*WV Yes Electronic Electronic submission preferred.
WI Yes Electronic Electronic submission preferred.
WY No   Submit via the Wyoming Insurance Department Address Change portal.