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This version of the form is not currently in use and is provided for reference only. Download this version of
Form AIS-R
for the current year.
Form AIS-R Annual Information Statement (Reciprocal Insurer) - California
What Is Form AIS-R?
This is a legal form that was released by the California Department of Insurance - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is an AIS-R Annual Information Statement?
A: The AIS-R Annual Information Statement is a document that reciprocal insurers in California are required to file annually.
Q: Who needs to file an AIS-R Annual Information Statement?
A: Reciprocal insurers in California need to file an AIS-R Annual Information Statement.
Q: What is a reciprocal insurer?
A: A reciprocal insurer is an insurance company owned by its policyholders, who mutually insure each other.
Q: When is the deadline to file the AIS-R Annual Information Statement?
A: The deadline to file the AIS-R Annual Information Statement varies but is usually within 90 days after the end of the insurer's fiscal year.
Q: Are there any penalties for not filing the AIS-R Annual Information Statement?
A: Yes, there are penalties for not filing the AIS-R Annual Information Statement, including fines and potential license suspension.
Form Details:
- Released on March 1, 2017;
- The latest edition provided by the California Department of Insurance;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form AIS-R by clicking the link below or browse more documents and templates provided by the California Department of Insurance.
Download Form AIS-R Annual Information Statement (Reciprocal Insurer) - California
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