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CA Department of Insurance

Securities Forms & Instructions


As of July 1, 2016, all underwritten title companies with escrow authority are required to comply with new financial responsibility requirements. Please refer to Bulletin No. 2016-3 dated March 28, 2016 for the special instructions of completing the Securities Transaction Request Form A-174 to comply with new financial security requirements as of July 1, 2016 and related requests for release of existing escrow deposits.

The following Securities Forms & Information are now available in Microsoft Excel 2002, Word 2002 and/or in Adobe's Portable Document Format (PDF). The Excel & Word documents may be downloaded to your computer.  To view and complete the PDF forms, your browser must have Adobe Acrobat Reader 6.0 or higher. A free copy of the Adobe Acrobat Reader and the Microsoft Excel and Word viewers can be downloaded from the Free Document Readers page. Additional forms will be added or revised periodically, so keep checking back. 

Securities Schedule of Fees

Book Entry Securities Deposit

Securities Transaction Request Form for Inside Depositors, Form A-174

Securities Transaction Request Form for Outside Depositors, Form D-174

For assistance on the Form A-174 and D-174, please contact the Securities Transaction Unit at (916) 492-3412 or via e-mail at 

Please include your name, company name, telephone number, and e-mail address in all correspondence with the CDI.

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