Captive Company Applications

To the extent permitted by law, this application will be kept confidential by the state insurance regulatory authority.

* Please submit all required documents

 indicates a successful submission

*Name of Applicant:  

*Application (Form AL-C-APP):
Download Application
*Biographical Affidavits (Form AL-C-BIO):
Download Affidavit
*Feasibility Study/Business Plan:
* Articles of Incorporation:
* Statement of Benefit to Alabama (Form AL-C-BTA):
Download Statement
* Resident Agent for Service of Process (Form-AL-C-ASP):
Download Agent
* Agreement to Submit to Examination (Form AL-C-EXM):
Download Agreement
Misc. Document #1:
Misc. Document #2:
Misc. Document #3:

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