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Delaware Department of Insurance Forms

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Independent Procurement Premium Tax Report - Self-procured Surplus Lines - Delaware, 2023 PDF

Independent Procurement Premium Tax Report - Self-procured Surplus Lines - Delaware, 2023
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Independent Procurement Premium Tax Report - Delaware, 2021 PDF

Independent Procurement Premium Tax Report - Delaware, 2021
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Sample Certificate of Creditable Coverage - Delaware PDF

Sample Certificate of Creditable Coverage - Delaware
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Form FR-19 Delaware Insurance Certification - Delaware PDF

Form FR-19 Delaware Insurance Certification - Delaware
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Medicare Supplement Refund Calculation Form - Delaware PDF

Medicare Supplement Refund Calculation Form - Delaware
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Freedom of Information Act Request - Delaware PDF

Freedom of Information Act Request - Delaware
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Reporting Form for the Calculation of Benchmark Ratio Since Inception for Individual Policies - Delaware PDF

Reporting Form for the Calculation of Benchmark Ratio Since Inception for Individual Policies - Delaware
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Form FR-4 Assigned Risk Insurance Certification Request - Delaware PDF

Form FR-4 Assigned Risk Insurance Certification Request - Delaware
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Form FR-4 Notice of Cancellation or Termination of Policy - Delaware PDF

Form FR-4 Notice of Cancellation or Termination of Policy - Delaware
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Form F611 Certification of Readability - Delaware PDF

Form F611 Certification of Readability - Delaware
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Personal & Commercial Filing State Specifics Form - Delaware PDF

Personal & Commercial Filing State Specifics Form - Delaware
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Form 4B Request for a Self-service Storage Producer License - Delaware PDF

Form 4B Request for a Self-service Storage Producer License - Delaware
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Form 2C Request for Amendment - Delaware PDF

Form 2C Request for Amendment - Delaware
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Form 2A Request for a Delaware Insurance License - Delaware PDF

Form 2A Request for a Delaware Insurance License - Delaware
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Form 2B Request for Business Entity Insurance License - Delaware PDF

Form 2B Request for Business Entity Insurance License - Delaware
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Continuing Education Course Report Form - Delaware PDF

Continuing Education Course Report Form - Delaware
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Form 3B Request for Viatical Settlement Broker License - Delaware PDF

Form 3B Request for Viatical Settlement Broker License - Delaware
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Form SL-1917 Surplus Lines Broker Notice to Insured - Delaware PDF

Form SL-1917 Surplus Lines Broker Notice to Insured - Delaware
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Insurer's Petition for External Review - Delaware's Independent Health Care Appeals Program - Delaware PDF

Insurer's Petition for External Review - Delaware's Independent Health Care Appeals Program - Delaware
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Auto Bulletin No. 7 - Adoption of Section 3915 of Title 18 (Refunds on Auto-policy Cancellations) - Delaware PDF

Auto Bulletin No. 7 - Adoption of Section 3915 of Title 18 (Refunds on Auto-policy Cancellations) - Delaware
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Property and Casualty and Surplus Lines Insurance Carriers Survey - Delaware PDF

Property and Casualty and Surplus Lines Insurance Carriers Survey - Delaware
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Certificate Request - Delaware PDF

Certificate Request - Delaware
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Managed Care Organization Checklist - Delaware PDF

Managed Care Organization Checklist - Delaware
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Form H-1 Application for Managed Care Organization Certificate of Authority - Delaware PDF

Form H-1 Application for Managed Care Organization Certificate of Authority - Delaware
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Form H-2 Admittance Questionnaire for Certificate of Authority of Managed Care Organization - Delaware PDF

Form H-2 Admittance Questionnaire for Certificate of Authority of Managed Care Organization - Delaware
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Insurance Premium Finance Company Renewal - Delaware PDF

Insurance Premium Finance Company Renewal - Delaware
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Rating Organization License Application Form - Delaware PDF

Rating Organization License Application Form - Delaware
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Form D-1 Designation of Person for Receipt of Service of Process - Delaware PDF

Form D-1 Designation of Person for Receipt of Service of Process - Delaware
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Reinsurance Intermediary Annual Renewal Form - Delaware PDF

Reinsurance Intermediary Annual Renewal Form - Delaware
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License Application Reinsurance Intermediary Individual - Delaware PDF

License Application Reinsurance Intermediary Individual - Delaware
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License Application Reinsurance Intermediary Partnership - Delaware PDF

License Application Reinsurance Intermediary Partnership - Delaware
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Part II Workplace Safety Program Questionnaire - Job Site Addendum - Delaware PDF

Part II Workplace Safety Program Questionnaire - Job Site Addendum - Delaware
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Report of Delaware Medical Negligence Claims - Delaware PDF

Report of Delaware Medical Negligence Claims - Delaware
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Security Exchange/Addition Request - Delaware PDF

Security Exchange/Addition Request - Delaware
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Form PF-4 Annual Report of Insurance Premium Finance Companies - Delaware PDF

Form PF-4 Annual Report of Insurance Premium Finance Companies - Delaware
Delaware Annual Report Annual Report Template Delaware Legal Forms United States Legal Forms
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Request for Letters of Certification/Clearance - Delaware PDF

Request for Letters of Certification/Clearance - Delaware
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