Form E-II: Industrial Insured Premium Receipts Tax Report

NEW ADDRESS


Arizona Department of Insurance
100 North 15th Avenue, Suite 261

Phoenix, AZ  85007-2630

Starting July 1, 2020, we will be the
Department of Insurance and Financial Institutions (DIFI).

Updated 1/31/2020.  NOTE: The criteria for determining whether an insured qualifies as an industrial insured will be changing effective January 1, 2020, which first impacts Form E-II filings that are due in August 2020 (for the January 1 - June 30 semi-annual period).  The 20200131 version of Form E-II can only be used for filings for insurance procured prior to January 1, 2020.