connecticut form 115ar report for procurement continuance or renewal of insurance with unauthorized insurere

Description
STATE OF CONNECTICUT DEPARTMENT OF REVENUE SERVICES PO BOX 2990 HARTFORD CT 06104-2990 (REV. 12/99) FORM 115AR REPORT OF PROCUREMENT, CONTINUANCE OR RENEWAL OF INSURANCE WITH UNAUTHORIZED INSURER Purpose: This form is used to report insurance coverage obtained from a Connecticut Unauthorized Insurer according to Conn. Gen. Stat. 38a-277. 1. Name and Address of the Insured
Fill & Sign Online, Print, Email, Fax, or Download
Fill Online
  • Fill Online
  • eSign
  • eFax
  • Email
  • Add Annotation
  • Share
connecticut form 115ar report for procurement continuance or renewal of insurance with unauthorized insurere
Rate This Form

4.0

Satisfied

42

 Votes