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Texas Department of Insurance
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Reciprocals - Company License

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TDI form number Description Format Language
FIN300 Company Name Reservation Application
Application to reserve a company name 		PDF English
FIN321 Company Licensing Fee Transmittal Form
 PDF English
FIN367 Application for Reciprocal or Inter-Insurance Exchanges
Application to transact business as a reciprocal or inter-insurance exchange 		PDF English
FIN371 Checklist for Change in Attorney in Fact for Reciprocals
Attorney-in-fact Change Checklist for Reciprocals (only) 		PDF English
FIN407 Statutory Deposit Transaction Form
Statutory Deposit Transaction Form is submitted when a securities is deposited or withdrawn. 		PDF English
FIN453 Declaration of Trust
Form to be executed for securities held on deposit. 		PDF English

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