Michigan Department of Insurance and Financial Services Forms

This form is used for selecting the limits of bodily injury liability coverage in the state of Michigan. It allows drivers to choose the amount of coverage they wish to have for bodily injury claims resulting from a car accident.

This Form is used for obtaining a Certificate of Division in the state of Michigan. It is required when a corporation wishes to divide into multiple smaller entities or change its existing structure.

This Form is used for reporting annual sales of long-term care insurance in Michigan.

This form is used for selecting personal injury protection (PIP) medical coverage for individuals in Michigan. It helps individuals tailor their coverage options for medical expenses resulting from auto accidents.

This Form is used for notifying the increase in the capital stock and paid-in capital of a company in the state of Michigan. It is important for legal compliance and maintaining accurate financial records.

This Form is used for Michigan Mortgage Brokers to declare their exemption status.

This form is used for applying for a credit card license in the state of Michigan.

This form is used for selecting personal injury protection medical coverage for commercial businesses in Michigan.

This form is used for submitting an affidavit by an authorized insurer sponsor in Michigan.

This form is used for Michigan licensed business entities that wish to serve as a producer sponsor. The affidavit serves as an affirmation of their sponsorship role.

This form is used for licensed producers in Michigan to provide an affidavit as a sponsor. It is required by the state for compliance purposes.

This type of document is a contract used in Michigan for residential public adjusting services. It outlines the terms and conditions for hiring a public adjuster to assist with insurance claims related to residential property.

This form is used for requesting sponsorship for a temporary producer licensee in Michigan.

This document is used for a questionnaire for broker, lender, servicer officers or managers in the state of Michigan.

This form is used to notify the state of Michigan about a cybersecurity event that has occurred.

This document is used for applying for initial certification of a no-fault utilization review program in Michigan.

This Form is used for reporting a cybersecurity event in the state of Michigan.

This form is used for insurance agents or producers to disclose information related to annuities in the state of Michigan.