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- Captive Filing Forms
Captive Forms & Filings
Licensing Forms
- SCDOI Captive Application - Updated June 4, 2018
- SCDOI Captive Application Instructions - Updated June 4, 2018
- Captive Biographical Affidavit - Updated June 27, 2018
- SPFC Biographical Affidavit (latest version can be found on the NAIC's
UCAA - Consent to Service of Process for Captive Insurance Companies
- SPFC Consent to Service of Process (latest version can be found on the NAIC's
UCAA
- 2018 Captive Annual Report (Excel)
- Captive Annual Report General Instructions
- 2018 Attestation Report (Excel) - Updated January 18, 2019
- SPFC Attestation Report
- Direct Economic Impact Report (Excel)
- Actual to Actual Comparison (Excel) - Updated January 19, 2019
- Form A - Acquisition of Control or Merger (Word)
- Form B - Insurance Holding Company Annual Registration (Word)
- Form C - Summary of Registration Statement (Word)
- Form D - Prior Notice of a Transaction (Word)
- Form F - Enterprise Risk Report
- LOC Instructions and Sample
- For more information on completing NAIC yellow or blue blank annual statements, please see the NAIC's Financial Statement Filing page.
- CPA Application
- Captive Actuarial Application
- SPFC Actuarial Application
- Captive Manager Application - Updated June 4, 2018