Sitemap

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).

(4) | " (1) | 0 (650) | 1 (1497) | 2 (76) | 3 (3) | 4 (6) | 5 (6) | 6 (19) | 7 (38) | 8 (89) | 9 (356) | > (1) | A (174) | B (22) | C (137) | D (44) | E (17) | F (270) | G (15) | H (57) | I (82) | J (2) | K (1) | L (58) | M (175) | N (81) | O (22) | P (229) | Q (1) | R (204) | S (53) | T (33) | U (13) | V (4) | W (66) | Y (2) | (1)
Titlesort descending Last updated Attachments
Form E-TAX-I: Annual Tax and Fees Report Instructions 06/01/2020 (Fri)
AttachmentSize
PDF icon Annual Tax and Fees Report Instructions (Form E-TAX-I)456.15 KB
Form E-TAX: Annual Tax and Fees Report 08/02/2020 (Tue)
AttachmentSize
File E-TAX_20200131.xlsx94.22 KB
Form E-TC: Tax Credits 05/01/2020 (Fri)
AttachmentSize
File Form E-TC (v. 20200131)49.83 KB
Form E-TITLE: Retaliation Report for a Foreign/Alien Title Insurer 05/01/2020 (Fri)
AttachmentSize
File Form E-TITLE (v. 20200131)53.08 KB
Form E-UCLDR.AS: Annual Statement Filing Worksheet 10/02/2020 (Mon)
AttachmentSize
PDF icon E-UCLDR.AS_.pdf130.13 KB
Form E-UCLDR.CERT: Certification 10/02/2020 (Mon)
AttachmentSize
PDF icon E-UCLDRCert.pdf1.24 MB
Form E-UCLDR.I: Annual Statement Filing Instructions 10/02/2020 (Mon)
AttachmentSize
PDF icon E-UCLDR.I.pdf105.89 KB
Form E-UCLDR: Unaffiliated Credit Life & Disability Reinsurer Annual Fees Report 11/01/2019 (Fri)
AttachmentSize
PDF icon Form E-UCLDR (v. 20181217)366.26 KB
Form E110: Biographical Affidavit 07/12/2014 (Thu)
AttachmentSize
PDF icon E110AZBiographicalAffidavit.pdf321.21 KB
Form E110: Biographical Affidavit 08/11/2014 (Fri)
AttachmentSize
PDF icon E110AZBiographicalAffidavit.pdf321.21 KB
Form E125-CD: Certificate of Deposit Transmittal 09/09/2018 (Tue)
AttachmentSize
PDF icon E125CD.pdf699.49 KB
Form E125: Security Deposit Form 11/07/2017 (Thu)
AttachmentSize
PDF icon E125 20170627.pdf31.91 KB
Form E126-CD: Request for Release of Certificate of Deposit 09/09/2018 (Tue)
AttachmentSize
PDF icon E126CD.pdf696.61 KB
Form E126: Security Release Form 11/07/2017 (Thu)
AttachmentSize
PDF icon E126 20170627.pdf60.09 KB
Form E126LOC: Request for Release of Letter of Credit 09/09/2018 (Tue)
AttachmentSize
PDF icon E126LOC.pdf635.16 KB
Form E126XS: Application and Order for Release of Excess Deposit 09/09/2018 (Tue)
AttachmentSize
PDF icon E126XS.pdf1.2 MB
Form E150 - Assignment of Certificate of Deposit or Time Deposit to Arizona State Treasurer 09/09/2018 (Tue)
AttachmentSize
PDF icon E150.pdf752.53 KB
Form E157: Bond of Life and Health Administrator 02/12/2018 (Tue)
AttachmentSize
PDF icon Bond of Life and Health Administrator 645.6 KB
Form E184: Instructions for the Completion of the Form A Statement Regarding the Acquisition of Control of, or Merger with, a Domestic Insurer 08/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form A E-184.pdf70.45 KB
Form E185: Outline for Compliance with Insurance Holding Company Systems Reporting Requirements 01/11/2019 (Tue)
AttachmentSize
PDF icon Holding Company Instructions E-185.pdf213.93 KB
Form E185B: Instructions for the Completion of the Form B Registration Statement 09/07/2018 (Fri)
AttachmentSize
PDF icon Holding Company Form B E-185B.pdf69.47 KB
Form E185C: Instructions for the Completion of the Form C Summary of Registration Statement 07/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form C E-185C.pdf55.92 KB
Form E185CHB: Instructions for a Change to Form B Registration Statement 07/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form B Change E-185CHB.pdf54.79 KB
Form E185CHC: Instructions for a Change to Form C Summary of Registration Statement 07/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form C Change E-185CHC.pdf54.96 KB
Form E185D: Instructions for the Completion of the Form D Prior Notice of a Transaction Pursuant to A.R.S. § 20-481.12 07/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form D E-185D.pdf64.49 KB
Form E185E: Instructions for the Completion of the Pre-acquisition Notification Form 08/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form E E-185E.pdf56.32 KB
Form E185F: Instructions for the completion of the Enterprise Risk Report 09/07/2018 (Fri)
AttachmentSize
PDF icon Holding Company Form F E-185F.pdf57.92 KB
Form E185F: Instructions for the Completion of the Enterprise Risk Report 08/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Form F E-185F.pdf57.92 KB
Form E185XD: Instructions for Approval of Extraordinary Dividends and Other Distributions 07/07/2018 (Thu)
AttachmentSize
PDF icon Holding Company Extraordinary Dividends E-185XD.pdf54.25 KB
Form E230: Change to Domestic Insurer Statutory Agent 04/11/2016 (Thu)
AttachmentSize
PDF icon E230_0.pdf520.69 KB
Form E478I: Arizona Special Schedule P Report Instructions 04/12/2014 (Wed)
AttachmentSize
PDF icon E478I.pdf25.47 KB
FORM ER001 FOREIGN RISK RETENTION GROUP FILING INSTRUCTIONS 08/07/2018 (Thu)
AttachmentSize
PDF icon Foreign Risk Retention Group Filing instructions E-R001.pdf58.69 KB
Form ER001: Filing Instructions 09/07/2018 (Fri)
AttachmentSize
PDF icon Foreign Risk Retention Group Filing instructions E-R001.pdf58.69 KB
Form ER001: Filing Instructions 03/02/2015 (Wed)
AttachmentSize
PDF icon Form ER001: Filing Instructions654.89 KB
Form ER001: Filing Instructions 04/02/2015 (Wed)
AttachmentSize
PDF icon Form ER001: Filing Instructions153.63 KB
Form ER002: Registration 08/07/2018 (Thu)
AttachmentSize
PDF icon Foreign Risk Retention Group Registration Application E-R002.pdf659.3 KB

Pages