Michigan Department of Insurance and Financial Services Forms

This document is used for applying for a mortgage loan originator license in Michigan. It includes information about the applicant's background and qualifications.

This form is used for submitting a prior authorization request for prescription drugs in the state of Michigan.

This Form is used for issuing a letter of credit in the state of Michigan. A letter of credit is a financial instrument that guarantees payment to a seller from a buyer, usually in international trade transactions.

This Form is used for declaring exemptions on a mortgage application in the state of Michigan.

This type of document is a Specimen Letter of Credit that is used specifically for First Mortgage Applications in Michigan. It is designed for use by Michigan Mortgage Brokers, Lenders, and Servicers.

This Form is used for completing a specimen letter of credit for Michigan mortgage brokers, lenders, and servicers when processing second mortgage applications.

This form is used for surrendering a branch office listing for deferred presentment service providers in the state of Michigan.

This form is used for applying to be placed on the approved captive insurer management firm list in Michigan.

This document is used for obtaining an Accredited or Trusteed Reinsurer Certificate of Assuming Insurer in the state of Michigan. It is required for reinsurers who want to operate in Michigan and must meet certain accreditation or trusteed requirements.

This document is used for applying for registration of a Foreign Risk Retention Group (FRRG) in the state of Michigan.

This Form is used for obtaining the consent of a foreign risk retention group to designate a registered agent for service of process in the state of Michigan.

This Form is used for applying for a Certificate of Authority for Health Maintenance Organization (HMO) or Alternative Health Care Financing and Delivery System (AFDS) in Michigan.

This form is used for processing fees for foreign risk retention groups in Michigan.

This form is used for setting up an appointment with an authorized representative in the state of Michigan. It allows individuals to designate someone else to act on their behalf for certain legal or administrative matters.

This form is used for submitting an affiliate statement in the state of Michigan.

This form is used for reporting operations in the state of Michigan. It provides information about business activities and finances.

This document is used for incorporating a domestic insurance company in the state of Michigan. It outlines the articles of incorporation required for the formation of the company.

This form is used for certifying no-fault insurance in the state of Michigan.

This form is used for amending or restating the Articles of Incorporation for a corporation in the state of Michigan. It is necessary to update or change certain information in the original Articles of Incorporation.

This Form is used for the Oath of Director of a Michigan Domestic Insurer in the state of Michigan.

This document is used for providing notice and certification for the Partnership Program and Long-Term Care Partnership Policy in Michigan. It verifies the policyholder's eligibility and outlines the benefits of the program.

This Form is used for managing the appointment or cancellation of a Managing General Agent (MGA) or Agency in the state of Michigan.

This form is used for granting limited power of attorney in Michigan. It allows someone else to make decisions on your behalf, but only for specific matters and for a specific period of time.

This form is used for applying for an insurance premium finance company license in the state of Michigan.

This Form is used for disclosing the information about the owners, officers, and directors of a premium finance company operating in the state of Michigan.

This form is used for paying the premium finance company license fee in Michigan.

This form is used for obtaining a corporate surety bond for an insurance premium finance company in the state of Michigan.

This form is used for obtaining consent from a purchasing group to provide service in the state of Michigan.

This form is used for applying to become a reinsurance intermediary manager in the state of Michigan.

This form is used for granting consent to a non-resident reinsurance intermediary manager or broker in Michigan for providing insurance services.

This form is used for registering a purchasing group in the state of Michigan. It is necessary to complete this form in order to obtain official registration as a purchasing group in Michigan.