Forms Incorporated by Reference  

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    DEPARTMENT OF FINANCIAL SERVICES

    OIR – Insurance Regulation

    RULE NO.:RULE TITLE:

    69O-199.015Forms 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. 43 No. 56, March 22, 2017 issue of the Florida Administrative Register.

    69O-199.015 Forms Incorporated by Reference.

    (1) The following forms are incorporated into this rule chapter by reference to implement the provisions of Chapter 634, Part II, Florida Statutes:

    Title

    Form Number

    (a) Application for License Home Warranty Association License

    OIR- C1-490 http://www.flrules.org/Gateway/reference.asp?No=Ref-08297 12/05 (02/90)

    (b) Annual Report

    OIR-A3- 491 http://www.flrules.org/Gateway/reference.asp?No=Ref-08300 (03/91)

    (c) Quarterly Report

    OIR-492 (03/91)

    (c)(d) Statement of Acquisition, Merger or Consolidation of A Specialty

    Insurer Pursuant to Florida Statutes 628.461, 628.4615

    OIR-C1-448 (12/05) (05/89)

    (d)(e) Consent and Agreement in re Service of Process

    OIR- C1-144 (11/90)

    (e)(f) Authority to Release Information

    OIR- C1-450 (08/91)

    (f)(g) Biographical Statement and Affidavit

    OIR-422 (11/90)

    (g)(h) Abbreviated Biographical Statement

    OIR-449 (01/91)

    (h)(i) Home Warranty Bond

    OIR-455 (01/89)

    (i)(j) Certification of Filing Annual Tax on Premiums and Assessment

    OIR-440 (12/89)

    (j)(k) Resolution Form

    OIR-514 (11/90)

    (k)(l) Renewal Notice

    OIR-1073 (04/92)

     

    (2) Forms are available at http://www.floir.com/iportal. These forms are effective on the dates referenced above. Copies of the forms may be obtained from the Office of Insurance Regulation, Bureau of Specialty Insurers, Larson Building, Tallahassee, FL 32399-0300.

    Rulemaking Specific Authority 634.302 FS. Law Implemented 624.424,  634.306, 634.3073, 634.3077, 634.313, 634.315 FS. History–New 7-15-90, Formerly 4-118.015, Amended 7-16-92, Formerly 4-199.015 Amended_______________.

Document Information

Related Rules: (1)
69O-199.015. Forms Incorporated by Reference