TDI Forms Index

Listing of All TDI Forms | Non TDI Forms of Interest

Forms By Division / Section

Administrative Operations

• Administrative Operations – Overhead Assessment Exemption form, Insurance Agent / Agency Order form and Historically Underutilized Businesses (HUB) forms

Customer Operations

• Agent and Adjuster Licensing – Agent, Adjuster, and Agency forms
• Title Licensing – Title Manual forms and Licensing and Examination forms

External Relations

• Government Relations forms – Board Committee Appointment applications

Fraud and Enforcement

• Fraud Unit – Fraud Reporting forms

Division of Workers' Compensation

• Division of Workers' Compensation – Index for forms and notices

Financial Regulation

• Company Licensing and Registration – Forms and filing requirements for licensing or registering authorized/admitted insurers and registered/non-admitted entities.
  • Bonds and Securities
  • Captive Insurers
  • Continuing Care Retirement Communities
  • Domestic Insurers
  • Foreign Insurers
  • Health Care Collaboratives
  • Health Maintenance Organizations
  • Multiple Employer Welfare Arrangements
  • PEO Self-Funded Health Plans
  • Premium Finance Companies
  • Purchasing Groups
  • Reciprocals
  • Reinsurers
  • Risk Retention Groups
  • NAIC Uniform Certificate of Authority Application (UCAA) forms
  • Texas Lloyds Insurers
  • Third-Party Administrators
  • Workers Compensation Self-Insurance Groups
• Financial Analysis – Annual Statement and Required Filing Forms, NAIC checklists
• Holding Companies
• Workers' Compensation Health Care Networks

Life, Accident, and Health

• Filing & Operations – Advertising Compliance, Transmittal checklists and forms
• Life & Health – Data Collection, HMO Forms and HMO Form Filings, Resource Guide and Disclosure Forms for Life, Accident, Health and Annuity Products and Optional forms
• Managed Care Quality Assurance – HMO, URA, IRO, Sample forms, Texas Standardized Credentialing Application – checklists and forms

Property and Casualty forms

• General – Appraisal Umpire and Mediator forms
• Inspections – Loss Control and Amusement Inspection forms
• Personal Lines – Mold Remediation, Credit Information Disclosure and Residential Inspection forms
• Rate Filing and Exhibit forms
• Title – Title Manual forms and Licensing and Title Examination forms
• Windstorm

State Fire Marshal's Office

• Listing of Applications, forms and guides
• Alarm
• Extinguisher
• Fire Standard Compliant Cigarettes
• Fireworks
• Sprinkler
• Complaints
• Additional – Fire Exit Drills

Workers' Compensation Forms

• Division of Workers' Compensation – Workers' Compensation forms
• Workers' Compensation Health Care Networks

Notice about Certain Information Laws and Practices

With few exceptions, you are entitled to be informed about the information that the Texas Department of Insurance (TDI) collects about you. Under sections 552.021 and 552.023 of the Texas Government Code, you have a right to review or receive copies of information about yourself, including private information. However, TDI may withhold information for reasons other than to protect your right to privacy. Under section 559.004 of the Texas Government Code, you are entitled to request that TDI correct information that TDI has about you that is incorrect. For more information about the procedure and costs for obtaining information from TDI or about the procedure for correcting information kept by TDI, please visit the Corrections Procedure section of TDI's Web site.