Application Center

Welcome to the Application Center for the CNMI Department of Commerce. We consolidated
all applications for each division as well as all information pertaining to the completion
of the Application.

Alcohol Beverage & Tobacco Control Applications
Banking Applications
Enforcement & Compliance Applications
Insurance Applications
Registrar Applications
Workers’ Compensation Commission
Other Applications

Alcohol Beverage & Tobacco Control Applications

• Alcohol Beverage Control License
  • Alcohol Application Form
  • Alcohol License Requirements – New
  • Alcohol License Requirements – Renewal
  • Class-3 Registration Form
  • Class-5 Temporary Beer License Requirements
  • Exhibit A Form
  • Non-Profit Temporary License Requirements
  • Establishement Map Form
• Tobacco Control License
  • Tobacco Application Form
  • Tobacco Requirement – New
  • Tobacco Requirement – Renewal
• Betelnut Control License
  • Betelnut Application Form
  • Betelnut Requirement – New & Renewal

Banking Applications

• Documents
  • Finance Annual Report Form & Admin Notice
  • Banking Code
  • Regulations on Certification of Educational Institutions
• Banking Application
  • Bank Application – Renewal
  • Offshore Banking Application
  • Quick Banking Guide
• Finance Applications
  • Finance Application – New
  • Finance Application – Renewal
  • Finance Checklist
  • PL 12 – 36 Finance Company Statute
  • All Files – Zipped Folder
• Foreign Exchange – Remittance Application
  • Foreign Exchange Agent Application
  • Foreign Exchange Dealer Application – New
  • Foreign Exchange Dealer Application – Renewal
  • Remittance Checklist – New
  • All Files – Zipped Folder
• Other Applications
  • Investment Applications
  • Pawnbroker Applications
  • Securities Broker Applications
  • Trust Application
  • Dormant Accounts Application

Enforcement & Compliance Applications

• Taxi Cab
  • Taxi Cab Rates
  • Taxi Card Application
  • Taxi Vehicle Application
  • All Files – Zipped Folder

Insurance Applications

• Insurance Application Form(s)
  • Application and Procedures to the Assigned Risk Plan
  • Application for Adjuster License
  • Application for Broker License
  • Application for Certificate of Authority
  • Application for General Agent License
  • Application for Insurance Provider License
  • Application for Solicitor’s License
  • Application for Sub Agent License
  • Application for Surplus Line Agent or Broker License
  • Complaint Questionnaire
• Insurance Listing of Form(s)
  • Form I-A Application for Certificate of Authority(CoA)
  • Form I-A1 Affidavit of Compliance
  • Form I-A2 Statement of Compliance
  • Form I-B Agreement and Power of Attorney
  • Form I-BA Biographical Affidavit
  • Form I-C Appointment of General Agent
  • Form ICCR Insurance Clearance Certification Request
  • Form I-D Application for Insurance License
  • Form I-E Appointment of Subagent
  • Form I-F Application for Solicitor’s License
  • Form I-G Appointment of Solicitor’s License
  • Form IP-01 Application for Insurance Provider License
  • Form IP-02 Application to Assignment of Risk
• Insurance Other Compliance Form(s)
  • Form 0S-3805 Application for Letter of Compliance
  • Form Business License Application
  • Form WCC-101 Workers Compensation Commission
• Insurance Requirement(s)
  • Fee Schedule
  • Instruction for Authority to Organize a Domestic Corporation
  • Insurance General Requirement
  • Requirements for Alien Preadmission Filing
  • Requirements for Domestic Insurers Filing
  • Requirements for Foreign Preadmission Filing
  • Requirements for Policy Forms Approval
  • Requirements for Renewal of Insurance Application
  • Requirements for Surplus Line Agent or Broker Filing
  • Requirements for Withdrawal Procedure

Registrar Applications

• Corporation Registration
  • Checklist
  • Foreign Corporation
    • Check List
    • Foreign Corporation Application for Certificate of Authority
    • Foreign Corporation Application for Certificate of Withdrawal
    • All Files – Zipped Folder
  • Limited Liability Company (LLC)
    • Checklist
    • Limited Liability Company Application for Certificate of Authority
    • Limited Liability Company Annual Report Form
    • All Files – Zipped Folder
  • Non-Profit Company
    • Non-Profit Company Annual Report Form
    • Non-Profit Company Application
    • Non-Profit Company Application for Certificate of Authority
    • All Files – Zipped Folder
  • Partnership
    • Partnership Annual Statement Form
    • Partnership Form
    • Partnership Form – Amended
    • All Files – Zipped Folder
  • Other Forms
    • Annual Corporation Report Form
    • Application for Reinstatement of a Corporation
    • Application for Reserved Name
    • Application for Specific Gambling Exemption Certificate
    • Consent and Authorization to Appoint as Registered Agent
    • Financial Summary Report Form for Exempt Gambling Activity
• Non-Profit Organization
  • Instructions for filing petition for a Charter of Articles of Incorporation for a Non-Profit, Tax-Exempt Corporation

Workers’ Compensation Commission

• Documents
  • WCC Laws (PL 6-33 & 9-33)
  • WCC Rules & Regulations
  • What You Need to Know About CNMI WCC
  • Workers’ Compensation Benefits for Employees
  • Workers’ Compensation Benefits for Employers
  • Notice to Employees Poster
  • NMIA Workers Compensation Tariff and Underwriting Manual   (Published July 15, 2003)
• Forms
  • Compliance New/Renewal
    • Certificate of Compliance, Form WCC-100 (1 page)  (For Employers’ Insurance coverage)
  • Injury Claim Forms
    • Claim Forms (10 Pages)
    • Notice of First Payment, Suspension or Final Payment, Form WCC-209 (1 Page)
    • Notice by Employer to Controvert, Form WCC-206 (1 Page)
    • Application for Lump Sum Award, Form WCC-208 (1 Page)
  • Self-Insurance
    • Certificate of- Insurance Authorization, Form WCC-106 (3 Pages)
  • Business License Clearance
    • Application for Certificate of Clearance, Form WCC-101 (1 Page)
    • Application for Business License  (DOF Rev. & Tax. Business License Section)
  • Carriers SDF Quarterly Remittance
    • Quarterly Premium & Remittance Report, Form WCC-401 (1 page)
  • Hearing
    • Notice of Informal Conference, Form WCC-301 (1 Page)
    • Pre-Hearing Statement, Form WCC-302 (1 Page)
    • Subpoena, Form WCC-304 (1 Page)
    • Subpoena Duces Techum, Form WCC-305 (2 Pages)

Other Applications

• Educational Institution Application – Updated 8/8/2011
  • MS Word
  • PDF Format
• Student
• U.S. DOI – OIA Technical Assistance Grant