Louisiana Citizens Property Insurance Corporation Assessment Forms

Filling out an INS form takes only a few minutes and asks for basic information. Once you have filled out the form, mail it to the Louisiana Department of Revenue (the address is on the form). Be sure to attach a copy of your insurance declaration page showing the assessment has been included in the insurance premium. Your insurance agent can provide you with declaration pages for prior years if you don't have them. 
 

Residential Rebate Forms

Click the individual links below for a residential rebate form by year: 

• R-540INS 2014
• R-540INS 2015
• R-540INS 2016
• R-540INS 2017
• 2018 Form Coming Soon

For more than one property, attach this form to form R-540INS for the year in which you are claiming the rebate: R-INS Supplement Schedule for Refund of Louisiana Citizens Property Insurance Assessment 
 

Commercial Rebate Forms

Click the individual links below for a commercial rebate form by year: 

• R-620INS 2014
• R-620INS 2015
• R-620INS 2016
• R-620INS 2017
• 2018 Form Coming Soon

For more than one property, attach this form to form R-540INS for the year in which you are claiming the rebate: R-INS Supplement Schedule for Refund of Louisiana Citizens Property Insurance Assessment