Matthew Denn, Delaware's Insurance Commissioner

Insurance Commissioner & Department of Insurance

The Forms
This is a list of forms and information that must be submitted with your application for a Delaware captive, with links to PDF version of forms or templates. Applications currently must be submitted in hard copy.

Application for Admission (Form C-1)

Irrevocable Letter of Credit (Form C-2)

Biographical Affidavit (Form C-3)

Application for Approval as Independent CPA (Form C-4)

Application for Approval as Captive Insurance Manager (Form C-5)

Application for Approval to Certify Loss & Expense Reserves (Form C-6)

Designation for Receipt of Service of Process (Form D-1)

Designation to Receive Department of Insurance Documents (Form D-2)

Escrow Agreement and Banks Approved To Handle Escrow Agreements

Power of Attorney

Articles of Incorporation (this link will take you to the Delaware Division of Corporations)

Strategic Business Plan

Premium Tax Forms

ACH Instructions

Proforma Spreadsheet

Last Updated: Wednesday, 26-Dec-2007 10:31:32 EST