1033 Consent

Any applicant applying for licensure in this state must fully disclose all charges and convictions, regardless of whether or not adjudication was withheld and administrative action taken by any state or jurisdiction. Carefully review the background questions on the applications and your response to those questions. Failure by an applicant to FULLY disclose or provide true and complete response is grounds for denial, suspense or revocation of an insurance license.

Individuals who have felony convictions involving dishonesty or breach of trust are prohibited from work in any capacity for an insurance entity prior to complying with the requirements of 18 U.S.C. § 1033 AND 1034. Any person allowing an individual with a felony conviction involving dishonesty or breach of trust to work in any capacity in an insurance entity, prior to the director's consent being obtained, is in violation of federal and state law, subject to administrative action and federal and criminal sanctions.

Fingerprint Requirements and Information

  • Applicants must submit an FBI FD 258 fingerprint card to the Alaska Division of Insurance for the division to conduct a state and national criminal background check. A fingerprint card is only required if the applicant does not hold an active insurance license.
  • The fingerprint card is required for a state and national criminal background check to occur.
  • The Code of Federal Regulations provides a procedure to obtain change, correction, or updating of identification records in 28 CFR 16.34. You may direct any challenge as to the accuracy or completeness of any entry on your record to the FBI, who will then forward your challenge to the agency which submitted the data. Please refer to for additional information.