Regulatory Forms

Company Licensing Forms

Application Forms

Other Documents

Financial Examination Forms

Financial Exam Forms by Product

Fraud Forms

Submit an Anti-Fraud Plan

Health Compliance Forms

Announcement of Changes for Health Insurance Issuers, Utilization Review Organizations and Independent Review Organizations Concerning Annual Reporting

Independent Review Organization Certification Application Form

Utilization Review Organization (URO) Application

Property and Casualty Forms

Certificate of Destruction for Flooded Cars

Act 427 of the 2014 Regular Session of the Louisiana Legislature

Bulletin 2013-04 Catastrophe Model Interrogatories

Insurance Rating Filing Exhibits

Form 438 - Acknowledgement of applicant for personal lines insurance coverage in surplus lines market

Act 262 of the 2019 Regular Session-Commercial Motor Vehicle Reporting Requirements

Tax Forms

Admitted Premium Tax

Surplus Lines Premium Tax

Additional Forms

Physician’s Credentialing Form