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Affidavit of Publication of Public Notice
Affidavit of Loss of Original Certificate of Authority
Agreement to Comply with Rates, Rules and Regulations
Authorization to Disclose Criminal History Records Information
Certificate of Destruction Requirements for Insurers
Directors Acceptance of Trust
List of Third Party Vendors for Background Investigative Reports
NAIC Biographical Affidavit Form
NAIC Health Financial Blank (for health maintenance organization applications)
Oath of No Liabilities
Oath of No Liabilities for Third Party Administrator
Oath of Officer Application
Rap Sheet Disclosure Form
Regulation 66 Requests
Retaliatory Statement
Sample Ownership Chart
Statement of Compliance for URO
Surety Bond Requirements
Third Party Verification Report Instructions
TPA - VMBI Bond Form
Vehicle Mechanical Breakdown Deposit Requirements
Vehicle Mechanical Breakdown Insurer License Surrender
Vehicle Mechanical Breakdown License Renewal
Viatical License Surrender
Solicitation for Offers
Recently Issued Bulletins
Directive 198 - LA Citizens Reg. Assessment
Bulletin 2021-02 Time Periods for Proof of Loss
Bulletin 2021-03 Good Faith Claim Practices
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