LPG Form 995 Certification of Political Subdivision of Self-insurance for Workers' Compensation, General Liability, and / or Motor Vehicle Liability Insurance - Texas

LPG Form 995 Certification of Political Subdivision of Self-insurance for Workers' Compensation, General Liability, and / or Motor Vehicle Liability Insurance - Texas

What Is LPG Form 995?

This is a legal form that was released by the Railroad Commission of Texas - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form 995?
A: Form 995 is a certification of self-insurance for workers' compensation, general liability, and motor vehicle liability insurance in Texas.

Q: Who needs to file Form 995?
A: Political subdivisions in Texas that self-insure for workers' compensation, general liability, and/or motor vehicle liability insurance need to file Form 995.

Q: What does Form 995 certify?
A: Form 995 certifies that the political subdivision has the financial capability to self-insure for workers' compensation, general liability, and/or motor vehicle liability insurance.

Q: What information is required on Form 995?
A: Form 995 requires information about the political subdivision, insurance coverage, claims history, and financial statements.

Q: When is Form 995 due?
A: Form 995 is due on or before April 1st of each year.

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Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the Railroad Commission of Texas;
  • 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 LPG Form 995 by clicking the link below or browse more documents and templates provided by the Railroad Commission of Texas.

Download LPG Form 995 Certification of Political Subdivision of Self-insurance for Workers' Compensation, General Liability, and / or Motor Vehicle Liability Insurance - Texas

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