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INSURERS: Risk Retention Group - Notices and Forms 2011 Annual/2012 Quarterly

Annual/Quarterly Statement Financial Filing

The following sections contain Filing Instructions and California specific forms for you to view and download. All required documents must be submitted electronically in PDF, MS-Excel and/or MS-Word formats, utilizing the OASIS (Online Assistance System for Insurer Submittal). Additionally, please submit the original signature pages by the reporting deadline.

Mail to:

California Department of Insurance
Financial Analysis Division
300 South Spring Street, South Tower, 13th Floor
Los Angeles, CA 90013
Attention: Financial Records Unit

Questions or Inquiries contact:
Financial Records
Phone: (213) 346-6423
E-mail: Financial_Records@insurance.ca.gov

Note: Please adjust your left and right margins to zero (0) before selecting the Print button in order to see all text.

All filings must be submitted online before 12:00 midnight of the required due date. A required filing maybe subject to a late assessment fee, if submitted after the required filing date.

View Annual/Quarterly Statement Notices

Form No. Description Printing and Special Instructions
Annual Statement and Other Requirements Checklist

Print Format: Legal size; Orientation: Portrait
Note: If MS-Word password screen pops up,
please click on the [Read Only] button to open the file.



Updated Date: 1/11/2012

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