Securities Forms & Instructions
The following Securities Forms & Information are available in Adobe's Portable Document Format (PDF). To view and complete the PDF forms, your browser must have a current version of Adobe Acrobat Reader installed. A free copy of the Adobe Acrobat Reader 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
Effective 2/1/2023, Certificate of Deposit will be distributed in PDF format and the color-printed official CDI seal will be affixed. Hard copies of Certificate of Deposit will be phased out.
- Fee Schedle - PDF (112 kb)
Book Entry Securities Deposit
- Book Entry - PDF (135 kb)
Securities Transaction Request Form for Inside Depositors, Form A-174
- Form A-174 - PDF (334 kb)
- A-174 Instructions - PDF (309 kb)
Securities Transaction Request Form for Outside Depositors, Form D-174
- Form D-174 - PDF (162 kb)
- D-174 Instructions - PDF (102 kb)
For Excel version of or assistance on the Form A-174 and D-174, please contact the Securities Transaction Unit by phone or e-mail
Securities Transaction Unit
- (916) 492-3412
- securities@insurance.ca.gov.
Please include your name, company name, telephone number, and e-mail address in all correspondence with the CDI.
