Surplus Lines and Other Forms & Checklists
This is one of several pages linking to a central repository of forms used by TDI customers. Use the search or Forms by Type links on the Forms Home Page or scan through our form listings.
| TDI Form Number | Description | File Format | Language |
|---|---|---|---|
| FIN413 | Texas Purchasing Group Registration Requirements Memo to Purchasing Groups Outlining Filing Requirements |
English | |
| FIN414 | Notification to the Commissioner for Registration as a Purchasing Group - Form PG1 Form PG1 - used for the initial registration of a group that intends to do business in Texas |
English | |
| FIN415 | Annual Agent Report for Risk Retention and Purchasing Groups - Form PG3 Form PG3 required to be filed by any agent for a purchasing group and shown on Form PG1 or Form PG1R |
English | |
| FIN416 | Appointment of Commissioner as Agent - Form RRG/PG C1 Form RRG/PG PC1 required for all purchasing groups. Notarized form appoints Commissioner of Insurance as agent for the purchasing group. |
English | |
| FIN417 | Renewal/Amendment of Purchasing Group Registration - Form PG1R Form PG1R - Form (notarized) and instructions used to report changes to the original registration and for annual renewal of Purchasing Groups, due by July 1. |
English | |
| FIN418 | Texas Risk Retention Group Registration Requirements Memorandum outlining the requirements and forms required for registering a Risk Retention Group in Texas |
English | |
| FIN419 | Registration of a Foreign/Alien Risk Retention Group - Form RRG-A-122 Form RRG-A-122 required for initial registration and renewal of a Risk Retention Group that intends to do business in Texas. |
English | |
| FIN420 | Risk Retention Group Registration Requirements Checklist Checklist provided to Risk Retention Groups to ensure all required documents are completed and submitted within required deadlines. |
English | |
| FIN421 | Evidence Filing Requirements for 2012 Surplus Lines Eligibility Memorandum highlighting the filing requirements and due dates for evidence to obtain or maintain Surplus Lines eligibility in Texas |
English | |
| FIN422 | Foreign (U.S. domiciled) Surplus Lines Insurers Filing Requirements/Checklist Instructions/Checklist for foreign (U.S. domiciled) Surplus Lines insurers that wish to obtain/maintain SL eligibility. See FIN421 for Memorandum to be utilized in conjunction with FIN422. |
English | |
| FIN423 | Alien (non-U.S. domiciled) Surplus Lines Insurers Filing Requirements/Checklist Instructions/Checklist for alien (non-U.S. domiciled) Surplus Lines insurers that wish to obtain/maintain SL eligibility. See Form FIN421 for Memorandum to be utilized in conjunction with this Form FIN423. |
English | |
| FIN424 | Surplus Lines Company Business Outline These are guidelines for Surplus Lines insurers when preparing the required 3 year business plan for Texas |
English | |
| FIN425 | Accredited/Trusteed Reinsurers Registration Requirements for 2012 Memorandum outlining 2012 filing requirements for reinsurers wanting to maintain their certification as Accredited or Trusteed Reinsurer. |
English | |
| FIN426 | Accredited/Trusteed Reinsurer Checklist, Form R-4 Form R-4 Checklist for Accredited/Trusteed Reinsurers listing filing requirements for reinsurers wanting to maintain their certification as Accredited or Trusteed Reinsurer. See FIN425 for memo with further instructions. |
English | |
| FIN427 | Submission for Reinsurance Accreditation, Form R-1 Form R-1 (notarized) submitted for Reinsurance Accreditation. See FIN425 for memo with further instructions. |
English | |
| FIN428 | Certificate of Assuming Insurer, Form R-3 Form R-3 (notarized form) Designates Commissioner of Insurance as Attorney for Service; submits to the COI to examine its books and records; submits to the jurisdiction of any court of competent jurisdiction in Texas for adjudication of any issues. |
English | |
| FIN429 | Accredited/Trusteed Reinsurer Business Plan Outline Guide to key elements that might be included in a 3-year business plan for Accredited/Trusteed Reinsurers. |
English |
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