Arizona Department of Insurance and Financial Institutions Forms

This document is used for filling out the annual statement worksheet for domestic unaffiliated credit life and disability reinsurer in Arizona.

This form is used for submitting audited financial reports and internal control filings in Arizona.

This Form is used for registering a Foreign Risk Retention Group in Arizona.

This form is used for certifying domestic unaffiliated credit life and disability reinsurers in Arizona.

This Form is used for obtaining a Certificate of Certified Reinsurer in the state of Arizona. It certifies that the reinsurer meets certain financial criteria and is eligible to reinsure risks in Arizona.

This form is used for obtaining a Certificate of Public Supervisory Official in the state of Arizona. It applies to individuals who want to carry out supervisory responsibilities in a public organization or agency.

This form is used for certifying the rates of credit property and credit unemployment in the state of Arizona.

This Form is used for insurers to certify their participation in the Long-Term Care Insurance Partnership Program in Arizona.

This form is used for insurers in Arizona to report their rates.

This Form is used for providing a post-purchase notice for the Long-Term Care Insurance Partnership Program in Arizona. It is an attachment to the LTCPP-AZ form.

This form is used for submitting the annual report of a life care provider in Arizona. It is mandatory for life care providers to complete this form to comply with state regulatory requirements.

This Form is used for completing the Annual Statement Worksheet for Domestic Mechanical Reimbursement Reinsurer in the state of Arizona. It helps domestic insurance companies who provide mechanical reimbursement coverage to submit their annual financial statement.

This document is a form used in Arizona for reporting of policies issued to industrial insured. It is referred to as Form E-PC.INDINS and is required by ARS 20-400.10(F).

This form is used for obtaining a list of insurers and agents related to purchasing groups in the state of Arizona.

This form is used for obtaining consent from a policyholder in Arizona to allow a third party to file an insurance complaint on their behalf.

This type of document is used to report suspected insurance fraud in the state of Arizona.

This form is used for obtaining a Certificate of Reinsurer Domiciled in Reciprocal Jurisdiction in Arizona. It is required for reinsurers operating in Arizona who are domiciled in a reciprocal jurisdiction.

This form is used for requesting the release of a certificate of deposit in the state of Arizona.

This document certifies the board members of a credit union in Arizona, ensuring their qualification and eligibility to serve in their respective roles.

This document is used for renewing a trust company's license in the state of Arizona. It requires an affidavit to be filled out and submitted.

This document provides a yearly summary of the assets and liabilities of a trust in the state of Arizona. It includes detailed financial information and helps to ensure transparency and accountability.

This form is used for reporting appraisal management companies to the national registry in Arizona. It helps maintain a record of appraisal management companies operating in the state.