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Renewal Forms for Pure Captives



Form #GID-010C-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2017
Title: APPLICATION FOR RENEWAL OF CERTIFICATE OF AUTHORITY FOR CAPTIVE INSURANCE COMPANY
APPLICATION FOR RENEWAL OF CERTIFICATE OF AUTHORITY FOR CAPTIVE INSURANCE COMPANY. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal. This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1197-SID:3113-FN:GID-010C-RS.pdf

Form #GID-276-EN This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: Citizenship Affidavit (replaces Citizenship Form and GID-235-SF)
Effective 1-1-2012, this form is required of persons making application for all licenses, permits, registrations and certifications in order to comply with the Georgia Illegal Immigration Reform And Enforcement Act. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.
PID:788-SID:3027-FN:GID-276-EN.pdf

Form #GID-410-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: Direct Economic Impact of Georgia Captive Insurance company
Direct Economic Impact of Georgia Captive Insurance company
PID:1141-SID:3028-FN:GID-410-RS.pdf

Form #GID-413-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2015
Title: Affidavit of Compliance with Georgia Meeting Requirement
Affidavit of Compliance with Georgia Meeting Requirement
PID:1142-SID:3029-FN:GID-413-RS.pdf

Form #GID-418-RS This is in the Adobe Portable Document format (pdf)\nDivision: Insurance Financial OversightPublished: 2016
Title: Annual Filing Checklist for Pure captive Insurers
This is an Adobe Interactive Form, so you may fill it out on-line and print it and send it to us.
PID:1166-SID:3030-FN:GID-418-RS.pdf

Form #GID-419-RS This is a Microsoft Excel Aplication\nDivision: Insurance Financial OversightPublished: 2019
Title: Annual Statement Blank
The Annual Statement Blank is a Microsoft Excel Spreadsheet.
PID:1224-SID:3193-FN:GID-419-RS.xlsm

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