Louisiana Department of Insurance Forms

62
total templates

Documents

62

Form COR-1 "Change of Record Form (Change of Name/Trade Name)" - Louisiana

Rate (4.4 / 5) 55 votes
Size: 2 MB
1 page

Form CR-1 "Certificate of Certified Reinsurer" - Louisiana

Rate (4.3 / 5) 73 votes
Size: 83 KB
2 pages

Form PEO1 "Registration to Act as a Professional Employer Organization in the State of Louisiana" - Louisiana

Rate (4.8 / 5) 41 votes
Size: 1 MB
7 pages

Form 1071 "Quarterly Tax Statement" - Louisiana, 2020

Rate (4.8 / 5) 17 votes
Size: 130 KB
1 page

Form 203P "Acceptance of Access to Records Request" - Louisiana

Rate (4.4 / 5) 72 votes
Size: 73 KB
1 page

Form 1425 "Military Discount Tax Credit Report" - Louisiana, 2020

Rate (4.5 / 5) 10 votes
Size: 152 KB
2 pages

Form 1623 "Application for Resident or Non-resident Managing General Agent" - Louisiana

Rate (4.4 / 5) 13 votes
Size: 88 KB
4 pages

Form 1068C "Investment Tax Credit Report of Qualifying Assets" - Louisiana, 2020

Rate (4.7 / 5) 30 votes
Size: 149 KB
1 page

Form 1068E "Capco Credit Notification of Sale or Transfer" - Louisiana, 2020

Rate (4.5 / 5) 80 votes
Size: 156 KB
2 pages

Form 1265 B "Surplus Line Insurer or Other Unauthorized Insurer Policy Statement Direct Placement Tax Report" - Louisiana

Rate (4.5 / 5) 74 votes
Size: 251 KB
2 pages

Form 1262.1 "Approved Unauthorized Insurer Producer Production Report Foreign" - Louisiana, 2020

Rate (4.8 / 5) 17 votes
Size: 234 KB
4 pages

Form 1262.1 "Approved Unauthorized Insurer Producer Production Report Alien" - Louisiana, 2020

Rate (4.7 / 5) 11 votes
Size: 215 KB
4 pages

Form 1566 ENTITY "Application for Entity Navigator License" - Louisiana

Rate (4.7 / 5) 42 votes
Size: 59 KB
3 pages

Form 1566 INDIVIDUAL "Application for Individual Navigator License" - Louisiana

Rate (4.7 / 5) 19 votes
Size: 57 KB
3 pages

"Application to Act as a Pharmacy Services Administrative Organization in the State of Louisiana" - Louisiana

Rate (4.4 / 5) 18 votes
Size: 330 KB
14 pages

"Application to Act as a Discount Medical Plan in the State of Louisiana" - Louisiana

Rate (4.3 / 5) 21 votes
Size: 440 KB
13 pages

"Application to Act as a Utilization Review Organization in the State of Louisiana" - Louisiana

Rate (4.6 / 5) 10 votes
Size: 382 KB
12 pages

"Affidavit of Loss of Original Certificate of Authority or Approval" - Louisiana

Rate (4.3 / 5) 9 votes
Size: 152 KB
1 page

Exhibit C "Louisiana Loss Cost Multiplier Worksheet - Lines Other Than Workers' Compensation" - Louisiana

Rate (4.6 / 5) 21 votes
Size: 87 KB
1 page

Exhibit C-WC "Louisiana Loss Cost Multiplier Worksheet - Workers' Compensation" - Louisiana

Rate (4.7 / 5) 13 votes
Size: 88 KB
1 page

"Application to Act as a Discount Medical Plan" - Louisiana

Rate (4.6 / 5) 28 votes
Size: 338 KB
13 pages

"Application for Dissolution of a Louisiana Domiciled Insurer" - Louisiana

Rate (4.5 / 5) 22 votes
Size: 121 KB
7 pages

"Application to Act as a Third Party Administrator in the State of Louisiana" - Louisiana

Rate (4.7 / 5) 30 votes
Size: 320 KB
14 pages

"Director's Acceptance of Trust" - Louisiana

Rate (4.4 / 5) 94 votes
Size: 88 KB
1 page

"Application for Change of Control of a Louisiana Domiciled Insurer" - Louisiana

Rate (4.5 / 5) 21 votes
Size: 325 KB
17 pages

"Application for Registration to Actas a Professional Employer Organization in the State of Louisiana" - Louisiana

Rate (4.8 / 5) 25 votes
Size: 1 MB
5 pages

"Application for Health Maintenance Organization License in Louisiana" - Louisiana

Rate (4.6 / 5) 66 votes
Size: 486 KB
18 pages

"Annual Renewal of Vehicle Mechanical Breakdown Insurer License in the State of Louisiana" - Louisiana

Rate (4.4 / 5) 21 votes
Size: 161 KB
4 pages

"Application for a Certificate of Authority as a Louisiana Domiciled Insurer" - Louisiana

Rate (4.8 / 5) 14 votes
Size: 265 KB
20 pages

"Application to Act as a Independent Review Organization in the State of Louisiana" - Louisiana

Rate (4.7 / 5) 22 votes
Size: 330 KB
12 pages

"Acknowledgement of Applicant for Personal Lines and Health and Accident Insurance Coverage in the Surplus Lines Market" - Louisiana

Rate (4.3 / 5) 10 votes
Size: 48 KB
1 page

"Self-storage Limited License Application Addendum Insurer Certification Form" - Louisiana

Rate (4.4 / 5) 52 votes
Size: 2 MB
1 page

"State to State Transfer Form" - Louisiana

Rate (4.6 / 5) 65 votes
Size: 101 KB
1 page

"License Surrender and Letter of Clearance" - Louisiana

Rate (4.6 / 5) 5 votes
Size: 2 MB
1 page

"Application for a Certificate of Authority as a Louisiana Domiciled Insurer Form" - Louisiana

Rate (4.5 / 5) 50 votes
Size: 506 KB
20 pages

Exhibit E "Rating Examples - Homeowners" - Louisiana

Rate (4.6 / 5) 8 votes
Size: 133 KB
5 pages

"Application to Register as a Non-navigator" - Louisiana

Rate (4.6 / 5) 104 votes
Size: 25 KB
1 page
Upload