Form FIS2271 Application for Self-insurance Certificate - Michigan

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form FIS2271 for the current year.

Form FIS2271 Application for Self-insurance Certificate - Michigan

What Is Form FIS2271?

This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the FIS2271 Application for Self-insurance Certificate?
A: The FIS2271 Application for Self-insurance Certificate is a form used in Michigan to apply for a self-insurance certificate.

Q: Who needs to fill out the FIS2271 Application for Self-insurance Certificate?
A: Any entity in Michigan that wishes to self-insure their vehicles instead of purchasing insurance from a licensed insurance company needs to fill out the FIS2271 Application for Self-insurance Certificate.

Q: What information is required on the FIS2271 Application for Self-insurance Certificate?
A: The FIS2271 Application for Self-insurance Certificate requires information such as the applicant's name, address, contact information, and details about their vehicles to be self-insured.

Q: Are there any fees associated with the FIS2271 Application for Self-insurance Certificate?
A: Yes, there is a fee associated with the FIS2271 Application for Self-insurance Certificate. The fee amount may vary, and it should be included with the application.

ADVERTISEMENT

Form Details:

  • Released on May 1, 2015;
  • The latest edition provided by the Michigan Department of Insurance and Financial Services;
  • 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 FIS2271 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.

Download Form FIS2271 Application for Self-insurance Certificate - Michigan

4.4 of 5 (42 votes)
  • Form FIS2271 Application for Self-insurance Certificate - Michigan

    1

  • Form FIS2271 Application for Self-insurance Certificate - Michigan, Page 2

    2

  • Form FIS2271 Application for Self-insurance Certificate - Michigan, Page 3

    3

  • Form FIS2271 Application for Self-insurance Certificate - Michigan, Page 1
  • Form FIS2271 Application for Self-insurance Certificate - Michigan, Page 2
  • Form FIS2271 Application for Self-insurance Certificate - Michigan, Page 3
Prev 1 2 3 Next
ADVERTISEMENT