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Texas Department of Insurance
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Financial Miscellaneous Forms

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TDI form number Description Format Language
CCRC06/FIN388 CCRC form 6 - Format for Disclosure Statement for Continuing Care Facility
 WORD English
CCRC06a/FIN389 CCRC Form 6A - Instructions for preparation a continuing care retirement community disclosure statement for filing with TDI
 PDF English
CCRC06b/FIN605 CCRC form 6B - Format for Disclosure Statement for Continuing Care Facility
 WORD English
CCRC08/FIN391 CCRC Form 8 - Certification of changes to disclosure statement
 PDF English
FIN150 Texas Negotiated Deductible Workers' Compensation Form
 PDF English
FIN483 Transactions Cash Receipts Transmittal Form
 PDF English

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