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Download Required Reports/Forms 

To print a blank report form, click on the appropriate report form  below. Once the file has been downloaded, print the form. Send the completed form  to us at

Licensing
Arizona Department of Financial Institutions
2910 N. 44th Street, Suite 310
Phoenix, AZ  85018


NOTE: For MONEY TRANSMITTERS only. DFI is upgrading their current licensing database.  As part of this upgrade, DFI needs updated Authorized Delegate information.  DFI requests that you please provide an Excel spreadsheet that contains the updated information.  Please note that this request will be considered separate from your quarterly reports. You will need to continue to submit your quarterly reports electronically in a timely manner.  Please click here for the instructions for submitting the Authorized Delegate information.  

Required Reports

Note:

Reports Forms
Collection Agency: Due 06/30 Annually Escrow Rate Filing Form
Consumer Lender: Due 10/01 Annually Arizona Statement of Citizenship and Alien Status for State Public Benefits
Debt Managerment: Due 08/15 Annually Biographical Statement
Escrow Agent: Due Semi-annually Collection Agency Bond
Money Transmitter: Due Quarterly Collection Agency Financial Statement
Premium Finance Company: Due 02/01 Annually Debt Management Bond
Trust Company: Due 03/31 Annually Escrow Agent Bond
Consumer Lender Standard Rate of Charge Report Escrow Agent Certification by Licensing Agency or Supervisory Board
Company Financial Statement Escrow Agent Industry Experience Questionnaire
  Mortgage Surety Bond
  Money Transmitter Bond
  Money Transmitter Certification by Licensing Agency or Supervisory Board
  Money Transmitter Identification Statement
  Personal Financial Statement
   
   
  Arizona @ Your Service   Governor Janet Napolitano  
Contact Us Contents Last Updated06.17.2007

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