Form RT: Retaliation Report

For all foreign or alien insurers.  Please refer to information provided in the Arizona Retaliation Guide and in the insurer's Taxes and Fees Data Sheet.


You must complete this form if the insurer's domicile requires Arizona insurers to pay appointment fees, appointment renewal fees, appointment termination fees, license fees or license renewal fees. Make sure to post the total from this form to Form E-RT.