Form FIN474 Texas Workers' Compensation Self-insurance Group (Sig) Change in Security for Incurred Liabilities Form - Texas

Form FIN474 Texas Workers' Compensation Self-insurance Group (Sig) Change in Security for Incurred Liabilities Form - Texas

What Is Form FIN474?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the FIN474 form?
A: The FIN474 form is the Texas Workers' Compensation Self-insurance Group (Sig) Change in Security for Incurred Liabilities Form.

Q: What is the purpose of the FIN474 form?
A: The purpose of the FIN474 form is to report changes in the security deposit for self-insured workers' compensation liabilities in Texas.

Q: Who needs to use the FIN474 form?
A: The FIN474 form should be used by self-insurance groups in Texas that have incurred liabilities and need to report any changes in their security deposit.

Q: What information is required in the FIN474 form?
A: The FIN474 form requires information about the self-insurance group, including the group name, the effective date of the change, the new security deposit amount, and the reasons for the change.

Q: Who should I contact for more information about the FIN474 form?
A: For more information about the FIN474 form, you can contact the Texas Department of Insurance directly.

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Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Texas Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form FIN474 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

Download Form FIN474 Texas Workers' Compensation Self-insurance Group (Sig) Change in Security for Incurred Liabilities Form - Texas

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