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Welcome to the
Office of Insurance Regulation

Company Admissions

Certificate of Authority Domestic Property
and Casualty Insurer

NOTICE: This package also requires a Pro Forma Statement and an NAIC Company Code Application

ALL FORMS

APPLICATION FOR CERTIFICATE OF AUTHORITY DOMESTIC PROPERTY AND CASUALTY INSURERS PACKAGE

OIR-C1-878

APPLICATION FOR CERTIFICATE OF AUTHORITY DOMESTIC INSURER

OIR-C1-144

SERVICE OF PROCESS CONSENT & AGREEMENT

OIR-C1-903

REQUEST FOR PAYMENT OF FINGERPRINT CHARGES

OIR-C1-905

INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS

OIR-C1-938

FINGERPRINT CARD INSTRUCTIONS

OIR-C1-901

LIFE, ACCIDENT AND HEALTH INSURERS LINES OF BUSINESS BY COMPANY CODE

OIR-C1-877

PROPERTY AND CASUALTY INSURERS LINES OF BUSINESS BY COMPANY CODE

OIR-C1-883

CERTIFICATE OF DESIGNATION REGISTERED AGENT/REGISTERED OFFICE

OIR-D0-516

INSURANCE HOLDING COMPANY SYSTEM REGISTRATION STATEMENT

OIR-C1-844

MANAGEMENT INFORMATION FORM

OIR-C1-1467

INDIVIDUAL DISCLAIMER OF CONTROL AFFIDAVIT

OIR-C1-1468

DISCLAIMER OF CONTROL AFFIDAVIT

OIR-C1-1423

BIOGRAPHICAL STATEMENT AND AFFIDAVIT

 

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