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Texas Department of Insurance
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Reciprocal and Interinsurance Exchanges

Application

Company Name Application - FIN300

Business Application - FIN367

Attorney for Service of Process -

  • UCAA Form 12 (Uniform Consent to Service of Process) - Click on the Corporate Amendment App tab, and scroll to Form 12
  • Copy of Subscribers Agreement reflecting new name of Attorney-in-Fact

Biographical Affidavit and Fingerprinting Requirements

Statutory Deposit Transaction Form - FIN407

Declaration of Trust - FIN453

Amended or Restated Articles of Association certified by the state of domicile

 

Other Forms

Change in Attorney in Fact - FIN371

Copy of Subscribers Agreement reflecting new name of Attorney-in-Fact

 

Submit filing to clrfilings@tdi.texas.gov 

Statute

Texas Insurance Code Chapter 942

For more information, contact: CompanyLicense@tdi.texas.gov

Last updated: 4/10/2024