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 Download Free Document Readers page. Additional forms will be added or revised periodically, so keep checking back.

Securities Schedule of Fees

• Fee Schedule - MS Word (211 kb)
• Fee Schedule - PDF (129 kb)

Book Entry Securities Deposit

• Book Entry - MS Word (146 kb)
• Book Entry - PDF (109 kb)

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

• Form A-174 - MS Excel (169 kb)
  • A-174 Instructions - MS Word (158 kb)
• Form A-174 - PDF (965 kb)
  • A-174 Instructions - PDF (164 kb)

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

• Form D-174 - MS Excel (163 kb)
  • D-174 Instructions - MS Word (152 kb)
• Form D-174 - PDF (611 kb)
  • D-174 Instructions - PDF (140 kb)

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 securities@insurance.ca.gov. 

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

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