California Department of Insurance
Fast Licensing Application Service		 Great Seal of California
Attestation and License Application Retrieval

Welcome to the FLASH Attestation and License Application Retrieval Service. This system is designed to allow you to recall and print your attestation and license application after it has been submitted to the California Department of Insurance (CDI). To retrieve your attestation and application please enter the last name, date of birth, last 4 digits of your social security number, and the last 4 digits of the credit card used when originally submitting your application. Then press the Retrieve Application button. An Adobe Acrobat attestation and application will appear to print. Thank you for using the CDI Fast License Application Service.

AGENCY: Department of Insurance
ADDRESS: 320 Capitol Mall, Sacramento, CA 95814-4309
TELEPHONE NUMBER: (800) 967-9331 or (916) 322-3555


To retrieve your submitted application, fill in all the fields below.
Last Name:
Date of Birth:
mm/dd/yyyy
Last 4 Digits of Social Security Number:
Last 4 Digits of Credit Card Used:
 
Get Acrobat Reader You will need Acrobat Reader version 5.0.5 or higher to read and print the completed attestation at the end of the application process.