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Texas Lloyds Companies Forms

For more information regarding any of the topics below and the necessary NAIC UCAA forms, go to the Company Licensing and Registration Texas Lloyds Companies home page.


Texas Lloyds Companies Forms
TDI Form Number Description File FormatLanguage
FIN300
Company Name Application
Application to reserve a company name
PDF English
FIN307
Attorney-in-Fact and Underwriters Page
Lists the Attorney-in-Fact and Underwriters of Lloyds and Reciprocals
PDF English
FIN321
Company Licensing Fee Transmittal Form
Company Licensing and Registration Fee Transmittal Form to be submitted with filings.
PDF English
FIN324
Biographical Affidavit Update
submitted as notification of changes to biographical affidavit
PDF English
FIN356
Biographical Affidavit and Fingerprint Requirements for Texas Lloyds and Reciprocal Insurers
Instructions and requirements for submitting biographical affidavit and fingerprints for Texas Lloyds and Reciprocal insurers
PDF English
FIN368
Instructions for the Original Incorporation of Texas Lloyds Company
Instructions for the original incorporation of a Lloyds Company
PDF English
FIN369
Form A-211 (Lloyds)
Form for Lloyds companies to complete for a new or amended Certificate of Authority
PDF English
FIN370
Charter Amendment Guidelines for a Lloyds Plan
Instructions for Lloyds amendments, including Underwriter Substitution, Attorney-in-Fact Change, Name Change or Home Office Change, or Increase in Guaranty Fund or Surplus Contribution
PDF English
FIN372
Conversion of Lloyds to Stock P&C Insurer
Filing instructions for a Lloyds insurer to convert to a stock property and casualty insurer
PDF English
FIN405
Company Licensing and Registration Open Records Request
Open Records Request form for the Company Licensing and Registration Office
PDF English
FIN407
Statutory Deposit Transaction Form
Statutory Deposit Transaction Form is submitted when a securities is deposited or withdrawn.
PDF English
FIN450
Joint Control Agreement
Form to be executed by Lloyds plan when placing required net assets as required by statute
PDF English
FIN453
Declaration of Trust
Form to be executed for securities held on deposit
PDF English

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