Skip to Content

Application for Written Consent to Engage in the Business of Insurance Pursuant to 18 U.S.C. 1033 AND 1034

The Omnibus Crime Bill of 1994 disqualifies from employment in the insurance industry anyone convicted of a criminal felony involving dishonesty or a breach of trust or anyone who has been convicted of an offense under this section. This ban, however, may be removed if approval is given by the Superintendent for the individual to remain or become employed in the insurance industry. This request can be made by completing an application for written consent to engage in the business of insurance pursuant to 18 U.S.C. 1033 and 1034.

Updated 10/12/2011

Department of Financial Services


DFS Facebook page

Follow NYDFS on Twitter


Sign up online or download and mail in your application.