Forms Incorporated by Reference

 

DEPARTMENT OF FINANCIAL SERVICES

OIR – Insurance Regulation

RULE NO.:RULE TITLE:

69O-203.210Forms Incorporated by Reference

NOTICE OF CHANGE

Notice is hereby given that the following changes have been made to the proposed rule in accordance with subparagraph 120.54(3)(d)1., F.S., published in Vol. 44 No. 76, April 18, 2018 issue of the Florida Administrative Register.

69O-203.210 Forms Incorporated by Reference.

(1) The following forms are incorporated herein by reference to implement the provisions of Chapter 636, Part II, F.S.:

(a) The following forms which are hereby adopted:

	FORM #	TITLE	DATE
1.	Form OIR-C1-1606 http://www.flrules.org/Gateway/reference.asp?No=Ref-08285	APPLICATION FOR LICENSE DISCOUNT PLAN ORGANIZATION (DPO)	01/18
2.	Form OIR-C1-1423 http://www.flrules.org/Gateway/reference.asp?No=Ref-08283	BIOGRAPHICAL AFFIDAVIT	12/17
3.	Form OIR-C1-938 [hyperlink]	FINGERPRINT PAYMENT AND SUBMISSION PROCEDURE	04/18

(b) The following forms as adopted in Chapter 69O-136 and 69O-143,  F.A.C.:

	FORM #	TITLE	DATE
1.	Form OIR-C1-144	SERVICE OF PROCESS CONSENT & AGREEMENT	06/04
2.	Form OIR-C1-903 http://www.flrules.org/Gateway/reference.asp?No=Ref-08290	INVOICE FOR NON-US CITIZENS WITH NO SOCIAL SECURITY NUMBER REQUEST FOR PAYMENT OF FINGERPRINT CHARGES	12/05
3.	OIR-C1-938 http://www.flrules.org/Gateway/reference.asp?No=Ref-08296	FINGERPRINT PAYMENT AND SUBMISSION PROCEDURE	05/13
3. 4.	Form OIR-C1-1298 http://www.flrules.org/Gateway/reference.asp?No=Ref-06557	MANAGEMENT INFORMATION FORM COMPLETE LIST OF OFFICERS, DIRECTORS, AND SHAREHOLDERS (10% OR MORE)	03/15  10/05

(c) Form OIR-A1-1671, Annual Report – Discount Plan Organizations (05/18) (06/08).

The remainder of the rule reads as previously published.