Steve Kinion, Director Bureau of Captive & Financial Insurance Products 704 King St. Suite 602 Wilmington, DE 19801 302-577-1211 (phone) 302-577-1212 (fax)
LIST OF CAPTIVE FORMS
Below is a list of forms that can be found on this Captive website: Form A-1 Captive Application for Certificate of Authority Form A-2 Business Unit Application Form B-1 Biographical Affidavit Form B-2 Declaration Affidavit of Financial Institutions as Trust Trustees Form C-1 Account Bank Balance Confirmation Form Form C-2 Sample Owner’s Request for Balance Confirmation Form C-3 Sample Surplus Note Form C-4 Sample Letter of Credit Form D-1 Designation for Receipt of Delaware Documents Form D-2 Designation for Receipt of Service of Process Form E-1 Actuarial Authorization Application Form E-2 Captive Manager Authorization Application Form E-3 Certified Public Accountant Authorization Application Form F-1 Captive Annual Report The documents are in Portable Document Format (PDF). To view, download the free version of Adobe Reader.
Below is a list of forms that can be found on this Captive website:
The documents are in Portable Document Format (PDF). To view, download the free version of Adobe Reader.
