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Property & Casualty Division

HELPFUL FORMS

Earthquake Coverage

AR166 Worksheet for 2006 year data due May 1, 2007. See this important notice concerning the new online entry form for this report.

ARRUA Report Entry Form

ARRUA Act 1326 Underwriting Assessment Form

Act 1345 of 2003 County Fire Loss Reporting Form Due June 1, 2007 (See Bulletin 6-2004 for details)

Consumer Credit and Credit Scoring Report (Due Annually, March 31st) (See Bulletin 14-2004 for details)

Fee Schedule For Property & Casualty Insurers

Surplus Lines Form SL-1 and SL-3

RULE 23 Required Forms

FORM UT

Property & Casualty Uniform transmittal header

FORM RF‑1

Rate filing abstract

FORM A‑1

Private passenger automobile abstract

FORM H‑1

Homeowners abstract

FORM RF‑2

Reference filing adoption form

FORM RF‑WC

Workers' compensation reference filing adoption form

FORM F‑1

Form filing abstract

FORM APCS

Automobile survey

FORM HPCS

Homeowners survey

FORM MMPCS

Medical Malpractice survey

FORM HONOT

Homeowners rate notice

FORM PPANOT

Private passenger automobile rate notice

FORM PROMAL

Professional malpractice rate increase notice to insured

FORM PRONOT

Professional malpractice rate increase newspaper notice

FORM SELFCERT

Arkansas Certificate of Compliance

Purchasing Group Application Form and renewal Registration Form PDF or Word

Report of Independently Procured Insurance

Uniform Product Coding Matrix for describing lines of insurance when making a rate or form filing.

 

Professional Employer Organizations

 
Rule and Regulation 58

 

 

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