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.
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.
Form Details:
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.