Where can I find the application form for a new captive license or protected cell, or for the redomestication to AZ of an existing licensed captive domiciled elsewhere?
Where can I find the application form for a new captive license or protected cell, or for the redomestication to AZ of an existing licensed captive domiciled elsewhere?
The current Captive Insurer Certificate of Authority Application form is located on our website in the Captive Insurer License App section at: difi.az.gov/captive-division
The application is free form and all items should be answered whether applicable or N/A.
If the captive application includes protected cells, the application should include a completed Captive Insurer Protected Cell Supplement Application (a per-cell application fee also applies). That form is also found at the link above.