CAPTIVE ACTUARIAL OPINION WAIVER AFFIDAVIT Please complete the following information and submit this affidavit either by email (ActuarialDivision tdi.texas.gov) or by hard copy to the above address.

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How to fill out the TX Captive Actuarial Opinion Waiver Affidavit online

Completing the TX Captive Actuarial Opinion Waiver Affidavit online can be a straightforward process if you follow the right steps. This guide will help you navigate the form, ensuring you provide all necessary information correctly.

Follow the steps to fill out the affidavit with ease.

  1. Press the ‘Get Form’ button to obtain the TX Captive Actuarial Opinion Waiver Affidavit and open it in your preferred online editor.
  2. Begin by entering the year for which you are requesting a waiver in the designated field. This is important as it specifies the relevant coverage period for your request.
  3. In the next field, provide the net written premium or reinsurance assumed for the specified year. Ensure that this figure reflects accurate financials as necessary.
  4. Fill in the date when operations commenced. It is necessary to provide this information to validate your request.
  5. In the designated sections, enter your company name, address, city, state, and zip code to ensure that your contact details are correct.
  6. Complete the fields for the company contact by providing their name, phone number, and email address. This information is essential for any follow-ups regarding your affidavit.
  7. In the sworn statement section, confirm that you are an authorized officer of the company and that the company meets the waiver qualification criteria as stated in the document.
  8. Sign the affidavit where indicated, including your name and title. This signature is crucial as it verifies the authenticity of the document.
  9. At last, you may save your changes, download, print, or share the completed affidavit as required. Ensure you submit it either by email or as a hard copy to the Texas Department of Insurance.

Ready to streamline your documentation process? Complete your TX Captive Actuarial Opinion Waiver Affidavit online today.

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