"Bail Bond Surety Company Audit Findings Report Form" - Connecticut

Bail Bond Surety Company Audit Findings Report Form is a legal document that was released by the Connecticut Insurance Department - a government authority operating within Connecticut.

Form Details:

  • Released on September 15, 2013;
  • The latest edition currently provided by the Connecticut Insurance Department;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut Insurance Department.

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Download "Bail Bond Surety Company Audit Findings Report Form" - Connecticut

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STATE OF CONNECTICUT
INSURANCE DEPARTMENT
Instructions
Audits which have findings:
The surety company audit findings report form should be utilized to submit the required
reports of violations/discrepancies. Please complete this form and attach all relevant
documents, including copies of letters/notifications sent to the agent, as well as complete
copies of the files reviewed which were found to be deficient.
The form contains sections to include the specific power number, case/docket number
and defendant names on those files for which issues have been identified.
If information is not available, please complete the form with as much detail as possible.
If available, however, all requested information must be provided.
If possible, Companies should obtain sign-off from their agents acknowledging that all
documents have been provided during the audit and none remain outstanding. Please see
attached "SURETY COMPANY BAIL BOND AGENT SEMI-ANNUAL AUDIT
ACKNOWLEDGEMENT FORM".
Audits which have found no discrepancies:
Should no issues have been found, please provide only the last page of this form titled
SURETY COMPANY SEMI-ANNUAL AUDIT
"NO FINDINGS"
REPORT FORM as the
submission.
If you have questions, please contact the Fraud
&
Investigations Unit at 860-297-3933 or
by email at Bailbonds((liCt.Gov
CID Surety Report Form 9/15/13
www.ct.gov/cid
P.O. Box 816 • Hartford, CT 06142-0816
An Equal Opportunity Employer
STATE OF CONNECTICUT
INSURANCE DEPARTMENT
Instructions
Audits which have findings:
The surety company audit findings report form should be utilized to submit the required
reports of violations/discrepancies. Please complete this form and attach all relevant
documents, including copies of letters/notifications sent to the agent, as well as complete
copies of the files reviewed which were found to be deficient.
The form contains sections to include the specific power number, case/docket number
and defendant names on those files for which issues have been identified.
If information is not available, please complete the form with as much detail as possible.
If available, however, all requested information must be provided.
If possible, Companies should obtain sign-off from their agents acknowledging that all
documents have been provided during the audit and none remain outstanding. Please see
attached "SURETY COMPANY BAIL BOND AGENT SEMI-ANNUAL AUDIT
ACKNOWLEDGEMENT FORM".
Audits which have found no discrepancies:
Should no issues have been found, please provide only the last page of this form titled
SURETY COMPANY SEMI-ANNUAL AUDIT
"NO FINDINGS"
REPORT FORM as the
submission.
If you have questions, please contact the Fraud
&
Investigations Unit at 860-297-3933 or
by email at Bailbonds((liCt.Gov
CID Surety Report Form 9/15/13
www.ct.gov/cid
P.O. Box 816 • Hartford, CT 06142-0816
An Equal Opportunity Employer
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STATE OF CONNECTICUT
INSURANCE DEPARTMENT
Surety Company Audit Findings Report Form
Business Name of Reporting Surety Company:
NAIC Number:
Date audit was completed:
_
Contact Name:
Contact Phone Number:
Contact Email:
Timeframe(s) which audit reviewed:
_
Was a letter of notification sent to the agent advising of the audit?
Yes
No
(If yes, please attach copy with this form.)
- - ­
Was a signed acknowledgement obtained from agent? Yes
No
_
(If yes, please attach copy with this form)
Was an audit final report provided to the agent and/or general managing agent?
Yes__ No_ _ If yes, please attach copy with this form).
Total Number of Bail Bond Agents Currently Appointed with Company:
Total Number of Bail Bond Agents Reviewed During Audit Period:
www.ct.gov/cid
CID Surety Report Form 9/15/13
P.O. Box 816 • Hartford, CT06142-0816
An Equal Opportunity Employer
2
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STATE OF CONNECTICUT
INSURANCE DEPARTMENT
Issues identified (check all that apply):
__Failure to collect full premium
__Failure to maintain receipts
Failure to obtain defendant authorization
__Failure to keep records
__Other: (Please Explain)
Failure to return collateral
Name of Surety Bail Bond Agent:
License Number:
Bail Bond Agent Business Name (if applicable):
Brief description of findings and possible violations (please attach copies of relevant file
documents with statement):
www.ct.gov/cid
CID Surety Report Form 9/15/\3
P.O. Box 816 • Hartford,CT06l42-08l6
An Equal Opportunity Employer
3
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STATE OF CONNECTICUT
INSURANCE DEPARTMENT
RELEVANT CASE SHEET:
A:
Name ofDefendant:
.
_
Related Case/Docket Number(s):
Power Number(s):
Date Power Number Executed:
*****************
B:
Name ofDefendant:
Related Case/Docket Number(s):
Power Number(s):
Date Power Number Executed:
****************
www.ct.gov/cid
em
Surety Report Form 9/15/13
P.O. Box 816 • Hartford, CT 06142-0816
An Equal Opportunity Employer
4
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STATE OF CONNECTICUT
INSURANCE DEPARTMENT
RELEVANT CASE SHEET:
c:
Name ofDefendant:
_
Related Case/Docket Number(s):
Power Number(s):
Date Power Number Executed:
****************
D:
Name ofDefendant:
Related Case/Docket Number(s):
Power Number(s):
Date Power Number Executed:
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
www.ct.gov/cid
eID Surety Report Form 9/\5/13
P.O. Box 816 • Hartford, CT 06142-0816
An Equal Opportunity Employer
5