- Home
- Forms, Laws & Regulations
- Captive Filing Forms
Captive Forms & Filings
Licensing Forms
- SCDOI Captive Application
- SCDOI Captive Application Instructions
- Captive Biographical Affidavit
- SPFC Biographical Affidavit (latest version can be found on the NAIC's UCAA page)
- 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 page)
Forms for Foreign RRG's:
- Application for Registration as a Risk Retention Group, Form 1030
- Appointment of Attorney to Accept Service, Form 1027
- Certification **The certification must be completed by the Risk Retention Group's domiciliary insurance department.
Captive Filing Forms
- Captive Annual Report (Excel)
- Captive Annual Report General Instructions
- Attestation Report (Excel)
- SPFC Attestation Report
- Direct Economic Impact Report (online form)
- Actual to Actual Comparison (Excel)
- 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.
Service Provider Forms