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Select
form number below for more information.
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FORM NUMBER
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FORM NAME
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DIVISION
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AID AC CFRF
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COMPANIES' FINANCIAL REGULATION FEE
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ACCOUNTING
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AID AC
EST-Q
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ESTIMATED INSURANCE PREMIUM TAX
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ACCOUNTING
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AID AC FBS
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ANNUAL REPORT OF FEES OF ALL FRATERNAL
BENEFIT SOCIETIES
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ACCOUNTING
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AID AC FPRF-Q
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ESTIMATED FIRE PROTECTION PREMIUM TAX
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ACCOUNTING
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AID AC FMAA-T
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ANNUAL REPORT OF PREMIUMS AND TAXES OF
ALL FARMERS MUTUAL AID ASSOC
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ACCOUNTING
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AID AC FPRF
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ANNUAL REPORT OF PREMIUMS AND TAXES OF
AUTHORIZED AND FORMERLY AUTHORIZED P&C INSURERS FOR THE FIRE
PROTECTION PREMIUM TAX FUND
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ACCOUNTING
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AID AC HMO-T
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ANNUAL REPORT OF PREMIUMS,
CO-PAYMENTS, TAXES AND FEES OF
ALL OF HEALTH MAINTENANCE ORGANIZATIONS
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ACCOUNTING
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AID AC HM-T
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ANNUAL REPORT OF PREMIUM TAXES HOSPITAL/MEDICAL
SERVICE CORP
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ACCOUNTING
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AID AC LD-T
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ANNUAL REPORT OF PREMIUMS, TAXES AND
FEES OF ALL LIFE AND ACCIDENT AND HEALTH INSURANCE COMPANIES
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ACCOUNTING
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AID AC LD-T(D)
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ANNUAL REPORT OF PREMIUMS, TAXES AND
FEES OF ALL ARKANSAS DOMESTIC LIFE AND ACCIDENT AND
HEALTH INSURANCE COMPANIES
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ACCOUNTING
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AID AC PC-T
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ANNUAL REPORT OF PREMIUMS, TAXES AND
FEES OF ALL PROPERTY & CASUALTY INSURANCE COMPANIES
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ACCOUNTING
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AID AC
PC-T(D)
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ANNUAL REPORT OF PREMIUMS, TAXES AND
FEES OF ALL ARKANSAS DOMESTIC
PROPERTY & CASUALTY INSRUANCE
COMPANIES
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ACCOUNTING
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AID AC RRG-T
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ANNUAL REPORT OF PREMIUMS, TAXES AND FEES
OF ALL REGISTERED RISK RETENTION GROUPS
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ACCOUNTING
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AID AC
SL-2
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AFFIDAVIT OF SURPLUS LINE BROKER
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ACCOUNTING
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AIC AC
SL-4
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ANNUAL STATEMENT OF SURPLUS LINE BROKER
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ACCOUNTING
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AID AC SLI-T
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ANNUAL CONTINUATION FEE
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ACCOUNTING
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AID AC
TI-T
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ANNUAL REPORT OF PREMIUMS, TAXES AND
FEES OF ALL TITLE AND AVIATION
TITLE INSURANCE COMPANIES
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ACCOUNTING
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SCHEDULE
WC
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now collected by the ARKANSAS WORKERS’
COMPENSATION COMMISSION
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AID AD SPEAKER
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SPEAKER REQUEST FORM
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ADMINISTRATION
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AID CS COMPLAINT
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CONSUMER COMPLAINT FORM
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CONSUMER
SERVICES
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AID CS PROVIDER
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HEALTH CARE PROVIDER COMPLAINT FORM
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CONSUMER
SERVICES
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AID CI FRAUD
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UNIFORM SUSPECTED INSURANCE FRAUD
REPORTING FORM
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CRIMINAL
INVESTIGATION
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AID FI
CP
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ASSIGNMENT AND PLEDGE OF CERTIFICATE OF
DEPOSIT
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FINANCE
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AID FI
EMLF
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DEPOSIT AGREEMENT FOR EMPLOYEE LEASING
FIRMS/GROUPS
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FINANCE
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AID FI
NB/CP
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NOTARY BOND SURETY CORP SECURITY DEPOSIT
CERTIFICATE OF PLEDGE
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FINANCE
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AID FI
NB/SUR
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NOTARY BOND SURETY CORP SECURITY
DEPOSIT-CERTIFICATE OF DEPOSIT
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FINANCE
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AID FI
NB/SUR
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NOTARY BOND SURETY CORP SECURITY DEPOSIT
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FINANCE
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AID FI
RDC
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RESERVE DEPOSIT CHECK FOR LICENSED LIFE
&/OR ANNUITY COMPANIES
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FINANCE
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AID FI
SEC/HMO-1
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DEPOSIT AGREEMENT FOR HEALTH MAINTENANCE
ORGANIZATION (HMO)
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FINANCE
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AID FI
SEC/LD-1
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DEPOSIT AGREEMENT FOR LIFE AND/OR
DISABILITY INSURANCE
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FINANCE
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AID FI
SEC/MC
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DEPOSIT AGREEMENT FOR AUTOMOBILE CLUB OR
ASSOCIATION
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FINANCE
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AID FI
SEC/PC-1
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DEPOSIT AGREEMENT FOR ALL KINDS OF
INSURANCE OTHER THAN LIFE, DISABILITY OR SURETY
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FINANCE
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AID FI
SEC/RP
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REGISTERED POLICIES DEPOSIT FOR LIFE
INSURANCE &/OR ANNUITY CONTRACTS
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FINANCE
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AID FI
SEC/SPL-1
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DEPOSIT AGREEMENT FOR SURPLUS LINES
INSURANCE CARRIER
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FINANCE
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AID FI
SEC/SUR-1
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DEPOSIT AGREEMENT FOR SURETY INSURANCE
ONLY
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FINANCE
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AID FI
SEC/SVD-1
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SPECIAL VOLUNTARY DEPOSIT AGREEMENT
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FINANCE
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AID FI
SEC/SVD-2
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SPECIAL VOLUNTARY DEPOSIT AGREEMENT FOR
ALL POLICYHOLDERS & CREDITORS
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FINANCE
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AID FI
SEC/SVD-3
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SPECIAL VOLUNTARY DEPOSIT AGREEMENT
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FINANCE
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AID
FI F1
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APPLICATION FOR A PREPAID FUNERAL
BENEFITS LICENSE
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FINANCE-PREPAID
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AID
FI F2
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APPLICATION FOR RENEWAL OF A PREPAID
FUNERAL BENEFITS LICENSE
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FINANCE-PREPAID
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