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Form E104 Application for Certificate of Authority Captive Line of Business Change - Arizona
What Is Form E104?
This is a legal form that was released by the Arizona Department of Insurance and Financial Institutions - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the Form E104?
A: Form E104 is an application for a Certificate of Authority for a Captive Line of Business Change in Arizona.
Q: What is a Certificate of Authority?
A: A Certificate of Authority is a legal document that grants an insurer the right to conduct business in a specific jurisdiction, in this case, Arizona.
Q: What is a Captive Line of Business Change?
A: A Captive Line of Business Change refers to a modification or alteration to the types of insurance lines that a captive insurer is authorized to write or underwrite.
Q: Who can use Form E104?
A: Form E104 is to be used by captive insurers who want to make changes to their authorized lines of business in Arizona.
Form Details:
- Released on October 9, 2019;
- The latest edition provided by the Arizona Department of Insurance and Financial Institutions;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form E104 by clicking the link below or browse more documents and templates provided by the Arizona Department of Insurance and Financial Institutions.
