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CA Department of Insurance

Home Protection - Notices and Forms

The following section contains filing instructions and forms for you to view and download.  All filings, unless otherwise noted, must be submitted using the Online Assistance System for Insurer Submittals ("OASIS").

Financial Filings Instructions:

Home Protection Companies Checklist .pdf

Form No.

Description

201

HP-Annual Statement .xlsx

105

CA Affidavit - Declaration to Valuation of Property & 
Securities/Verification
 .xlsx

107

Authorization For Disclosure of  Financial Records .xlsx

350

Instruction for Filing Management Discussion & 
Analysis
 .pdf

800

Report of Dividend- CA .xlsx

Bulletin 93-6

List of Home Protection Assigned CA Company Codes
Back to Annual/Quarterly Statement Notices Menu
Updated Date: 12/08/17

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