Share
Email to a Friend
Subscribe to eGov News
Blinklist
Blogger
Del.icio.us
Digg
Facebook
Google Bookmarks
Linked In
Myspace
Stumble Upon
Twitter
Yahoo Bookmarks
More Information
FAQs
|
Contact
|
Oklahoma Insurance Department
|
A-Z Site Index
|
Calendar
|
RSS Feeds
Insurance Commissioner
Glen Mulready
Search
Navigate
Consumers
---Consumer Assistance
---Home and Auto Rate Comparisons
---Insurance Basics
---GetReady
---Information for Seniors
---External Review Process
---Public Rate & Form Filings
---Workers' Compensation
---Health Care Reform Resources
Licensing and Education
Anti-Fraud Unit
Regulated Entities
---Bail Bonds
---Financial
---Regulated Industry Services
---Surplus Lines
---Premium Tax Forms
---Certified Reinsurers
---Insurers
---Rate and Form Filing
---Real Estate Appraiser Board (REAB)
---Insurance Business Transfers
Public Information
---About OID
---News
---Divisions and Programs
---Legislation
---Legal
---Employment/Internships
---Events
---Interlocals
---School Resources
---State of Oklahoma Insurance Verification System
Consumers
Consumer Assistance
Home and Auto Rate Comparisons
Insurance Basics
GetReady
Information for Seniors
External Review Process
Public Rate & Form Filings
Workers' Compensation
Health Care Reform Resources
Licensing and Education
Anti-Fraud Unit
Regulated Entities
Bail Bonds
Financial
Regulated Industry Services
Surplus Lines
Premium Tax Forms
Certified Reinsurers
Insurers
Rate and Form Filing
Real Estate Appraiser Board (REAB)
Insurance Business Transfers
Public Information
About OID
News
Divisions and Programs
Legislation
Legal
Employment/Internships
Events
Interlocals
School Resources
State of Oklahoma Insurance Verification System
Home
/ Search Results
Business Dispute Form
Please use this online form to file a dispute. The dispute will become a part of your license record.
*
Indicates Required Field
*
Violation Type:
ADDRESS
NAME CHANGE
*
Business Name:
(as it appears on the OK license)
*
Oklahoma License Number:
(as it appears on the OK License)
*
Employer Identification Number:
*
Email Address:
*
Phone Number:
(no dashes e.g. 5554443333)
*
State Your Case Below:
Allow 5 business days for the dispute to be reviewed. You will be contacted by email with the response or if additional information is requested. Please select 'SUBMIT' below.
If you would like to receive a confirmation email upon submission of this form, please enter your email here.
Submission of this form requires Internet Explorer 9.0 or higher
(with Compatibility Mode off), Firefox, or Google Chrome.