Form FIN404 Workers' Compensation Insurance Group Self-insurance Coverage Acknowledgement of Indemnity Agreement - Texas

Form FIN404 Workers' Compensation Insurance Group Self-insurance Coverage Acknowledgement of Indemnity Agreement - Texas

What Is Form FIN404?

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

Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Texas 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 FIN404 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

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Download Form FIN404 Workers' Compensation Insurance Group Self-insurance Coverage Acknowledgement of Indemnity Agreement - Texas

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