This is a legal form that was released by the Michigan Department of Insurance and Financial Services - a government authority operating within Michigan. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form FIS0865?
A: Form FIS0865 is the Third Party Administrator Jurat Page for Annual Renewal in Michigan.
Q: What is the purpose of Form FIS0865?
A: The purpose of Form FIS0865 is to provide information about the third party administrator for annual renewal in Michigan.
Q: Who needs to fill out Form FIS0865?
A: Third party administrators in Michigan need to fill out Form FIS0865 for annual renewal.
Download a fillable version of Form FIS0865 by clicking the link below or browse more documents and templates provided by the Michigan Department of Insurance and Financial Services.