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Domestic Form 14 Information Chart
Domestic Form 14 Information Chart

The chart below identifies the requirements for mailing address and contact notification updates as a domestic state. 

Last update: 10/31/2023
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
Additional State Specific Requirements for Form 14 – Mailing Address and Contact Updates
AL Yes  
AK Yes Officer signed and legible.
AZ Yes  
AR Yes  
CA Yes  
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  
DE Yes Can be emailed to us at BERG@Delaware.gov.
DC Yes  
FL Contact state  
GA Yes The Georgia state specific form GID-351-RS can be requested from Keyatta Kelly kkelly@oci.ga.gov.
HI Contact state  
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 Cannot change statutory home office city in Illinois using Form 14.  
IN  

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  
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 Contact state  
LA Yes http://ldi.la.gov/industry/company-licensing/company-contact-changes
ME Contact state  
MD Yes  
MA Contact state  
MI Yes  
MN Yes Contact state department for requirements at insurance.commerce@state.us.
MS Yes  
MO Yes  
MT Yes  
NE Yes Prefer companies update information through SBS; however, will accept Form14
NV Contact state  
NH Yes  
NJ Yes

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. Please visit www.statebasedsystems.com and select “New Jersey” from the jurisdiction dropdown. Options for insurance companies are under “SBS For Organizations”.

NM Yes  
NY Yes The Life Bureau prefers  hard copies, especially for large files that are easily readable in hard copy format. The Property Bureau will accept the UCAA 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 Contact state  
ND Yes  
OH Yes  
OK Contact state  
OR Contact state  
PA Yes  
PR Yes Contact state for requirements.
RI Yes  
SC Yes  
SD Yes  
TN Yes  
TX Yes Email UCAA Form 14 to clrfilings@tdi.texas.gov
UT Yes If in hard copy, email to company-renewals@utah.gov.
VT Yes If hard copy, email to DFR.CompLic@vermont.gov
VA Yes Prefer to receive in both hard copy and electronically.
WA Yes  
WV Yes  
WI Yes  
WY No Submit via the Wyoming Insurance Department Address Change portal.