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Title Last updated Attachments
Form L-BBAR: Bail Bond Agent Annual Report 11/03/2020 (Wed)
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PDF icon l-bbar_202000303.pdf111.06 KB
Form E125: Security Deposit Form 09/03/2020 (Mon)
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PDF icon E125 20200302.pdf80.53 KB
Form E126: Security Release Form 09/03/2020 (Mon)
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PDF icon E126 Security 20200302.pdf105.52 KB
Form E126 Cash: Cash Release Form 09/03/2020 (Mon)
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PDF icon E126 Cash 20200302.pdf192.75 KB
Form E-AR-1: Certificate of Assuming Insurer 10/03/2020 (Fri)
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PDF icon Reinsurer E-AR-1 Certificate of Assuming Insurer.pdf811.39 KB
Form L-PRV: Application for Provisional License 03/04/2020 (Thu)
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PDF icon l-prv_20200415_1530.pdf323.51 KB
File a Complaint or Appeal 12/04/2020 (Sat)
Form C-TPC: Third-party Consent 09/05/2020 (Fri)
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PDF icon 3rd Party Consent2.pdf1.28 MB
FY 2021 Insurer Notice of Assessment 05/07/2020 (Mon)
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PDF icon 2021-NoticeOfAssessment-20200713.pdf11.56 MB
FY 2021 Agency Strategic Plan 05/07/2020 (Thu)
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PDF icon ID-StrategicPlan-20200715.pdf84.92 KB
Form L-FPV: Fingerprint Verification 10/08/2020 (Tue)
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PDF icon l-fpv_20180618.pdf62 KB
FY 2022 Agency Budget Request 09/09/2020 (Tue)
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PDF icon DIFI_FY2022_AgencyBudgetRequest-20200831.pdf28.84 MB
Filing a Health Care Appeal 01/09/2020 (Fri)
Frequently Asked Questions and Key Facts about Health Insurance Rate Review 11/11/2020 (Thu)
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PDF icon FAQsfinal26ap11.pdf239.71 KB
Form E-NAIC.HEALTH: Annual Filing Checklist 03/11/2020 (Tue)
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PDF icon E-NAIC.HEALTH.pdf233.39 KB
Form E-NAIC.TITLE: Annual Filing Checklist 03/11/2020 (Tue)
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PDF icon E-NAIC.TITLE_.pdf214.08 KB
Form E-NAIC.PC: Annual Filing Checklist 03/11/2020 (Tue)
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PDF icon E-NAIC.PC_.pdf262.94 KB
Form E-LSPS: Life Settlement Provider Annual Statement 03/11/2020 (Tue)
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PDF icon Life Settlement Provider Annual Statement E-LSPS.pdf1.31 MB
Form E-651: Checklist for Application for Life Care Provider Permit 04/11/2020 (Tue)
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PDF icon AdmLifeCareE651.pdf134.47 KB
Form E-653: Checklist for Change from a Provisional Permit to Life Care Provider Permit 04/11/2020 (Tue)
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PDF icon AdmLifeCareE653.pdf133.7 KB
Form E-654: Application for Life Care Provider Permit Change 04/11/2020 (Tue)
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PDF icon Life Care Provider Permit Change Application E-654.pdf807.44 KB
FORM ER001 FOREIGN RISK RETENTION GROUP FILING INSTRUCTIONS 03/11/2020 (Mon)
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PDF icon Foreign RRG Filing Instructions E-R001.pdf162.55 KB
Form ER001: Filing Instructions 03/11/2020 (Mon)
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PDF icon Foreign RRG Filing Instructions E-R001.pdf162.55 KB
Form ER002: Registration Application 03/11/2020 (Mon)
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PDF icon Foreign RRG Registration Application E-R002.pdf845.24 KB
Form E-CR-I: Certified Reinsurer Instructions 04/11/2020 (Mon)
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PDF icon Cert Rein E-CR-I Instructions.pdf139.8 KB
Form E-CR-F Instructions 04/11/2020 (Mon)
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PDF icon Cert Rein E-CR-F Instructions.pdf112.47 KB
Form E-CR-S Instructions 04/11/2020 (Mon)
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PDF icon Cert Rein E-CR-S Instructions.pdf136.33 KB
Form ER002: FOREIGN RFG REGISTRATION APPLICATION 10/11/2020 (Tue)
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PDF icon Foreign RRG Registration Application E-R002.pdf845.24 KB
Form E-700: Certificate of Surplus Lines Broker 12/11/2020 (Thu)
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PDF icon Certificate of Surplus Lines Broker Form E-700 (1).pdf1.24 MB
Form EXSAPP: Application for Workers' Compensation Deposit Reduction - Instructions 03/11/2020 (Thu)
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PDF icon EXSAPP.pdf138.72 KB
Form E125-CD: Certificate of Deposit Transmittal 03/11/2020 (Thu)
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PDF icon E125CD.pdf119.39 KB
Form E126LOC: Request for Release of Letter of Credit 03/11/2020 (Thu)
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PDF icon E126LOC.pdf129.55 KB
Form E126-CD: Request for Release of Certificate of Deposit 03/11/2020 (Thu)
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PDF icon E126CD.pdf139.99 KB
Form E126XS: Application and Order for Release of Excess Deposit 03/11/2020 (Thu)
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PDF icon E126XS.pdf135.37 KB
Form E150 - Assignment of Certificate of Deposit or Time Deposit to Arizona State Treasurer 03/11/2020 (Thu)
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PDF icon E150.pdf125.07 KB
Form E184: Instructions for the Completion of the Form A Statement Regarding the Acquisition of Control of, or Merger with, a Domestic Insurer 04/11/2020 (Mon)
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PDF icon Holding Co Form A E-184.pdf175.44 KB