Formularios de Solicitud para Aseguradores Internacionales

Request Forms

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Form CIS 002 B Multistate International Insurer Application For Autorization

Form CIS 002 A International Isurer-Reinsurer Application For Authorization

FORM CIS 003 -Formulario de Solicitud para Célula de Protección

FORM CIS 005 Declaración jurada biográfica

[Form ARI-010] Formulario Cambio Información de Contacto

[Form ARI-011] Authentication - Annual Statement

FORM CIS 001

FORM CIS 003-001-Rev 02-2014 Compañía de seguros de célula de protección-Plan de activo suplementario

FORM CIS 004 Carta de crédito

FORM CIS 006 Formulario de solicitud para contadores públicos autorizados

FORM CIS 007 Consentimiento para ser demandado en tribunal de Puerto Rico

FORM CIS 008 Nombramiento del representante residente principal

FORM CIS 009 Consentimiento escrito del representante residente principal

FORM CIS 010-Certificate of Consent to not request reciprocal treatment in NAIC Accredited States or Territories-F

Form CIS RNW - Certificate of Authority Renewal

SUBMISSION CHECKLIST

Any citizen may report irregularities in the use of public funds or that may represent the crime of fraud or acts of public corruption. Send an email to informa@oig.pr.gov or file your complaint through https://www.oig.pr.gov/informa. You may also contact the confidential line of the Office of the General Inspector (OIG) at 787-679-7979. The whistleblower is protected by law against retaliation for filing a complaint.

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Application Forms for International Insurers

OCS