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Texas Department of Insurance
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Financial Miscellaneous Forms

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TDI Form Number Description File Format Language
FIN150 Texas Negotiated Deductible Workers' Compensation Form
PDF English
FIN388 CCRC 6 - Format for Disclosure Statement
Continuing Care Retirement Community (CCRC) detailed instructions and format for submitting Disclosure Statement, CCRC Form #6
WORD English
FIN389 CCRC Form #6A - CCRC Instructions for Preparation of Disclosure Statement
Continuing Care Retirement Community (CCRC) instructions for preparing Disclosure Statement filing, CCRC Form #6a
PDF English
FIN391 CCRC 8 - Certification of Changes to Disclosure Statement
Continuing Care Retirement Community (CCRC) certification of changes made to the Disclosure Statement, CCRC Form #8
PDF English
FIN483 Transactions Cash Receipts Transmittal Form
PDF English
FIN605 CCRC 6B - Format for Disclosure Statement for Continuing Care in Residence
WORD English

For more information, contact: FinancialAnalysis@tdi.texas.gov