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Rental Car Limited License Submissions

Application

Gov2Go
Introducing Gov2Go®!  Iowa Insurance Division is now offering Gov2Go® to give Iowans a more streamlined checkout process. Features include a shopping cart for multiple services, reminders, stored payments, and much more! 

Please note: Shopping cart will allow only one of this form to be submitted at a time.

Application Fee: This application has a $50 nonrefundable fee for company application or renewal and for each employee license applied for up to a maximum for a $1,000 in any calendar year. 

Service Fee: All payments have a $1.50 IOWAcess fee and a $.09 epayment fee.  Credit card payments have an additional credit card fee of 2.5% of the total. 
 
Once payment is processed, the fee is nonrefundable. If you have questions regarding this form or the amount of your fee, please contact producer licensing at 
producer.licensing@iid.iowa.gov or 515-654-6565.

You will receive a confirmation email. 

Company Application

Select which of the following applies *

Counter Employee Application

Is a third-party licensing agency submitting this application on behalf of a company or the counter employee applicants? *