Division of Insurance DORA State of Colorado Division of Insurance


Forms

Biographical Affidavit
Change of Address Form for Insurance Companies
Colorado Captive Principal and Home office Evidence of Compliance
Consumer Affairs Change of Address
Corporate Amendments (UCAA)
Domestic Insurance Company Dissolution Guidelines
Domestic Company Articles Amendment
Foreign Company Article Amendment
Foreign Company Demutualization
Foreign Company Withdrawing from the State of Colorado (Required Documentation)
Foreign Risk Retention Group Registration Form (Initial Application Only)
Form A - Fingerprint Card Notice
MD&A Instruction / Form
Mergers, Approval and Guidelines
MGA Designation
MGA Termination
Motor Vehicle Certificate of Self Insurance
Non-Admitted Reinsurer Power of Attorney
Purchasing Groups Application for Registration
Purchasing Groups Power of Attorney
Retaliatory Statement
Stockholder Dividends or Distributions Report
Uniform Consent to Service of Process
Viatical Settlement - Producer Affidavit
Viatical Settlement - Provider Annual Report
Viatical Settlement - Provider Application
Viatical Settlement - Provider Bond
Viatical Settlement - Provider License Instructions
Viatical Settlement - Provider Service of Process

updated 12/2011

Consumer Protection