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Adam Hamm, Commissioner

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	Advisory Board Travel Expense Voucher SFN 52864
	Affidavit SFN 4795
	Agent for Service of Process SFN 8330
	Agent of Process - Attachment A SFN 17912
	Annual Statement for an Insurance Premium Finance Company SFN 16824
	Application for a Hobby Boiler License Examination SFN 58785
	Application for a Hobby Boiler License SFN 58784
	Application for Administrator-Certificate of Registration
	Application For Certification of Exemption to Issue Gift Annuities SFN 17914
	Application for Coverage SFN 54369
	Application for Exemption by Automobile Rental Company for Counter Sales Personnel SFN 52150
	Application for Individual Reinsurance Intermediary License - Individual SFN 18556
	Application for Individual Reinsurance Intermediary License SFN 18556
	Application for Non-Resident Insurance Producer License (For Individuals and Business Entities)
	Application for Petroleum Tank Release Compensation Fund SFN 17017
	Application for Pharmacy Benefit Manager (Register as administrator)
	Application for Registration as a Purchasing Group SFN 53914
	Application for Registration as a Risk Retention Group (Foreign) SFN 53915
	Application for Reinsurance Intermediary License - Corporation or Partnership SFN 18739
	Application for Resident Insurance Producer License paper application For individual or business entities--links appear on the right side
	Appointment/Termination SFN 50291
	Boiler Inspection Report SFN 10706
	Boiler or Water Heater Installation Report SFN 59530
	Building Application SFN 16259
	Certificate of Assuming Insurer AR-1 SFN 53913
	Certification As An Insurer Of Automobile Warranty Contracts SFN 54357
	Certification of Advertising Compliance SFN 58799
	Change of Address/Name SFN 50072
	Change the Designated Responsible Licensed Producer SFN 60801
	Commercial Blanket Bond Application for County Game and Fish Vendors SFN 58566
	Commercial Roof Questionnaire SFN 52655
	Complaint Against a Company SFN 18956
	Complaint Against an Agent SFN 19050
	Consent to Rate Application - NDPC400 SFN 51683
	County Mutual Abstract of Statement SFN 4805
	County Mutual Companies Checklist SFN 53137
	Course Completion Certificate SFN 10923
	Coverage Changes on Current Property Insured SFN 3380
	Crop Insurance Rate Filing SFN 51682 Fillable
	Crop Insurance Rate Filing SFN 51682 Printable
	Data Processing Questionnaire SFN 4792
	Declaration of Compliance with the Auto Accident Reparations Act SFN 51663
	Electronic address change
	Electronic Appointment Renewals
	Electronic Non-Resident Insurance Producer License (for Individuals or Business Entities)
	Electronic Non-Resident License Renewal
	Environmental Consultant Expense Worksheet SFN 18731
	Excavation Expenses Worksheet SFN 17331
	Fire District Reporting Form SFN 52764
	Fire Insurance Premiums & Losses SFN 7832
	Fraud Reporting Form SFN 58333

	Health Company Abstract of Statement SFN 53892

	Hobby Boiler License Affidavit and Application SFN 58786
	Individual Health Insurance Data Report SFN 54182
	Information Required To Insure Radio Towers and Equipment SFN 59018
	Insured Property--Building Improvements SFN 59034
	Large Group Health Insurance Data Report SFN 54180

	Life Company Abstract of Statement SFN 4803
	Life Settlement Broker Business Entity Statement SFN 54042
	Life Settlement Broker Individual Statement SFN 50502
	Life Settlement Provider Statement SFN 54043
	Loss Prevention Questionnaire SFN 53166
	LTC Partnership Issuer Certification SFN 58600
	Medical Malpractice Claim Report SFN 17118
	Notice of Claim SFN 12199
	Notice of Loss SFN 9576
	Notification by Life Insurance Producer of Action as Life Settlement Broker SFN 59438
	Outdoor Property Application SFN 60515
	Payment voucher/authorization SFN 52579
	Petroleum Tank Registration SFN 17132
	Policy, Form and Rate Filing Transmittal-ND1000 SFN 51679
	Premium Finance Application SFN 16825
	Premium Finance Company Balance Sheet SFN 16836
	Premium Tax - Estimated Tax Form SFN 11051
	Premium Tax - Reconciled Tax Form SFN 11050
	Prescription Connection Application SFN 58370
	Property and Casualty Company Abstract of Statement SFN 4802

	Prospective Loss Costs Reference Filing - NDPC300 - SFN 51681
	Registration of Appointment of Agent for Service of Process SFN 53916
	Renewal of a Hobby Boiler License SFN 60444
	Report of Placement of Surplus Lines Insurance SFN 59883
	Request for Line of Duty Death Benefit SFN 59127
	Request to Change the Designated Responsible LIC Producer SFN 60801
	Sale or Disposal of Petroleum Storage Tanks SFN 50884
	Segregated Account/Contents of Contract - Attachment B SFN 17913
	SERFF Retaliatory Filing Fee - ND2000 - SFN 51680
	Small Group Health Insurance Data Report SFN 54181
	Surety Bond for Self Insurers SFN 19312
	Surplus Line Risks SFN 4824
	Surplus Lines Affidavit SFN 4818
	Surplus Lines Statement Of Taxable Premiums Received On North Dakota Business SFN 17419
	Title Company Abstract of Statement SFN 14755

	Uniform Suspected Insurance Fraud Reporting Form
	Utilization Review Agent Certification SFN 18378
	Utilization Review Filing Report SFN 18332
	Viatical Settlement Provider-Individual Statement SFN 58686
	Voluntary Cancellation Insurance Producer License SFN 53881
	W-9 Request for Taxpayer Identification Number and Certification