Missouri Department of Commerce and Insurance Forms

This form is used for an Irrevocable Letter of Credit in the state of Missouri.

This form is used for filing a real estate malpractice claim report in the state of Missouri.

This Form is used for renewing a license for producers offering extended service contracts for motor vehicles in the state of Missouri.

This form is used for remitting surplus lines tax in the state of Missouri.

This form is used for reporting the premium and loss information for dram shop liability insurance in the state of Missouri. It is specific to the regulations outlined in 20 CSR 600-1.020.

This form is used for generating a Profitability Report for commercial liability insurance in the state of Missouri. It helps businesses assess the financial viability of offering this type of insurance.

This form is used for completing a TPA (Third Party Administrator) questionnaire in the state of Missouri.

This form is used for applying for authorization to certify loss reserves and loss expense reserves for captives in the state of Missouri.

This form is used for filing the Captive Insurance Premium Tax Return in the state of Missouri. It is required for captive insurance companies to report and pay their premium taxes.

This form is used for submitting an application for admission to a captive insurance company in the state of Missouri.

This form is used for changing the status of a public adjuster solicitor in Missouri.

This form is used for insurers domiciled in Missouri to claim an exemption from certain requirements related to life insurance policies.

This Form is used for chapter 380 of Missouri Mutual Companies in the state of Missouri. It is used to provide necessary information and documentation required by the state for mutual companies operating in Missouri.

This form is used for casualty insurance companies operating in Missouri. It is likely used for reporting financial information or other regulatory purposes.

This document is used for the annual reporting of utilization review activities in the state of Missouri.

This form is used for reporting the experience of Medicare Supplement Insurance in Missouri.

This document is used to report consumer complaints in the state of Missouri.

This form is used for assigning a general bail bond agent in the state of Missouri.

This form is used for applying to register a public adjuster corporation in the state of Missouri.

This Form is used for applying to become a Surplus Lines Producer in the state of Missouri.