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Office of Insurance Regulation

Company Admissions

Commercial Self-Insurance Fund

NOTICE: This package also requires a Pro Forma Statement

  

ALL FORMS

COMMERCIAL SELF-INSURANCE FUND APPLICATION PACKAGE

OIR-C1-845

APPLICATION FOR CERTIFICATE OF AUTHORITY COMMERCIAL SELF-INSURANCE FUND

OIR-C1-848

APPLICATION FOR CERTIFICATE OF AUTHORITY COMMERCIAL SELF-INSURANCE FUND

OIR-C1-903

INVOICE - REQUEST FOR PAYMENT OF FINGERPRINT CHARGES

OIR-C1-849

APPLICATION FOR LICENSE TO CONDUCT BUSINESS IN THE STATE OF FLORIDA (Commercial Self-Insurance Fund)

OIR-C1-877

PROPERTY AND CASUALTY INSURERS LINES OF BUSINESS BY COMPANY CODE

OIR-C1-869

CONSENT AND AGREEMENT IN RE SERVICE OF PROCESS FOR COMMERCIAL SELF-INSURANCE FUND

OIR-C1-870

RESOLUTION FORM FOR COMMERCIAL SELF-INSURANCE FUND

OIR-C1-871

BOND FORM

OIR-C1-936

MANAGEMENT INFORMATION COMPLETE LISTING OF TRUSTEES AND ADMINISTRATOR OFFICERS AND DIRECTORS

OIR-C1-422

BIOGRAPHICAL STATEMENT AND AFFIDAVIT

OIR-C1-450

AUTHORITY FOR RELEASE OF INFORMATION

OIR-C1-905

INSTRUCTIONS FOR FURNISHING BACKGROUND INVESTIGATIVE REPORTS

OIR-C1-938

FINGERPRINT CARD INSTRUCTIONS

 

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