Automobile Insurance
Forms
The Office promulgates forms to facilitate the transfer of information
from the insurance entities to the Office. These forms have information
required by Florida statutes and rules.
Each form has an official form number, which pertains to the agency that
generated the form, the area within that agency, and the numeric order of
the form being issued. For example, the 11th form issued by the Applications
Coordination section would be numbered OIR-C1-11.
| Code |
OIR Unit |
| A1 |
Property & Casualty Financial Oversight |
| A2 |
Life & Health Financial Oversight |
| A3 |
Specialty Product Review |
| B1 |
Property & Casualty Product Review |
| B2 |
Life & Health Product Review |
| B3 |
Market Investigations |
| C1 |
Applications Coordination |
| D0 |
Forms with cross-unit usage |
OIR-B1-11 Voluntary Private
Passenger Non-Fleet Automobile Insurance In-Force Policy Count Reporting
OIR-B1-307 Private Passenger Automobile Excessive Profits Report
OIR-B1-505 Notice of Mandatory Pre-Insurance Inspection Requirement
OIR-B1-507 Florida Motor Vehicle
Pre-Insurance Inspection Form
OIR-B1-508 Acknowledgement of
Requirement for Pre-Insurance Inspection
OIR-B1-575; OIR-B1-576; OIR-B1-577; OIR-B1-578 Auto Rate Collections
System (ARCS)
OIR-B1-584 Annual Rate Filing
Exemption
OIR-B1-586 Annual Rate Filing
Certification and Transmittal
OIR-B1-1149 Notification of Personal Injury Protection Benefits
OIR-ER1-1149 Emergency Notification of Personal Injury Protection Benefits (Effective January 1,
2013 - Read Rule 69OER12 for additional information)
OIR-B1-1571 Standard Disclosure
and Acknowledgement Form
OIR-B1-1773 Certification Of
Medical Services or Care Lawfully Provided, Supervised, Ordered or
Prescribed Pursuant to Section 627.736(1)(a), Florida Statutes
OIR-B1-1809 Health Care Provider Certification of Eligibility for PIP
Benefits
I-File for Form
and Rate Filing
Automobile Home