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Texas Department of Insurance
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Purchasing Group - Company Licensing and Registration

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TDI form number Description Format Language
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
PDF 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
PDF 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.
PDF English
FIN417 Purchasing Group Annual Filing or Amendment - Form PG1R
Form PG1R - Form and instructions used by Purchasing Groups to report changes to the original registration and for annual filing due July 1.
PDF English

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