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Motor Clubs - Notices and forms 2013 Annual

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).  

For any document requiring original signatures, please mail the signature page(s) to:

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

For questions or inquiries, please contact:

Financial Records Unit
Phone: (213) 346-6423

Form No.


Special Instructions


Annual Statement and Other Requirements Checklist .pdf

Print Format: Legal size; Orientation: Portrait

Motor Club Annual Statement Blank .xls

Print Format: Select Entire Workbook, Legal size; Orientation: Portrait

Required Filing of Annual Statement Letter .doc

Print Format: Letter size; Orientation: Portrait

List of Motor Club Assigned California Company Codes

Back to Annual/Quarterly Statement Notices Menu

Updated Date: 12/30/13