Securities Division

Securities Forms

Some forms are provided in .PDF format.  If you don't have Acrobat Reader, please visit http://www.adobe.com to download your free copy.

Affidavit of Adviser Activity in Arizona:

  • Document required to be filed in connection with an investment adviser license application.

Fingerprint Instruction Packet (Non-AZ Residents Only):

  • Physical fingerprint packet including submission cover sheet, instructions and verification form.

Fingerprint Electronic Card Packet (AZ Residents Only):

  • Electronic fingerprint packet including submission cover sheet, instructions and verification form.

Form ADV:

  • Uniform application form to license as an Investment Adviser.

Form ADV-W:

  • Uniform form used to withdraw or terminate an investment adviser license.

Form BD:

  • Uniform form to register as a dealer.

Form BDW:

  • Uniform form used to withdraw or terminate dealer registration.

Form D:

  • Uniform form used for Regulation D offerings (R14-4-126 in Arizona). Also, used with R14-4-140 exemption and ULOR/SCOR offerings.

Form NF:

  • Uniform form for notice filings by mutual funds and unit investment trusts (investment companies).

Form U-1:

  • Uniform application form for securities registration.

Form U-2:

  • Uniform Consent to Service of Process form.

Form U-2A

  • Uniform Corporate Resolution form.

Form U-4:

  • Uniform form to register as a salesman or to license as an investment adviser representative.

Form U-5 :

  • Uniform form utilized to withdraw/terminate salesman registration or investment adviser representative licensure.

Form U-7:

  • Uniform disclosure document (prospectus) for ULOR/SCOR offerings. May also be utilized for Regulation A offerings.

Form U-10:

  • Uniform examination request form for Non-FINRA Candidates and instructions for submitting form.

Intrastate Crowdfunding Exemption Notice Filing Form

Investor Complaint Form - English:

  • A printable PDF version of the Investor Complaint Form. The online version can be found  here.

Public Records Reproduction Request:

  • Form required for obtaining copies of public records and documents.

List Request and Instructions:

  • Form required when requesting a list of firms or individuals registered by the Securities Division.


Contact the Securities Division

Address:

1300 W. Washington St,
Phoenix, AZ 85007

Phone:

Main:
(602) 542-4242

Toll-Free in AZ:
1-(866) 837-4399

Email:

Securities Enforcement:
SecuritiesDiv@azcc.gov

Registration:
SEC-AOD@azcc.gov