Forms & Documents

Board of Accountancy

• Application for Individual Permit
  (2007) (exp. 6/30/07)
• Application for Out-of-State Individual Permit
  (non-residents only)
• Practice Unit Application
  (exp. 6/30/07)
• Reinstatement Application for Individual Permit
• Clarification of Inactive Status
• Application for CPA Certificate Without Written Examination
  (no prior license, for RI residents and/or employment only)
• Application for a Reciprocal CPA Certificate
  (for RI residents and/or RI employment only)

Miscellaneous Forms

• Tax Payer Status Affidavit/Identity Verification
• Power of Attorney Form
• Complaint Form

Banking & Securities

• Banking
  • Licensees/Mortgage Companies
  • Banks/Financial Institutions
  • Credit Unions
  • Bank Holding Companies
• Securities
  • Department Complaint Form
  • Application for Fundraising Counsel
  • Application for Professional Fundraiser
  • Application for Professional Solicitor
  • Bond of Professional Solicitor or Professional Fund Raising Counsel to the General Treasurer of the State of Rhode Island
  • Application for Charitable Organizations
  • Rhode Island Franchise Registration Application
  • Application for Exemption from Registration Requirements as a Franchisor
  • Instructions for Filing Applications Investment Adviser/Investment Adviser Representative Non-Federal Covered Advisers=

 

Commercial Licensing & Racing & Athletics

• Racing and Athletics Division Forms
  • Consumer Complaints Form
  • Instructions for Filing Consumer Complaints Form

Insurance Regulation Division Forms and Resources

• Life, Accident and Health Insurance
• Complaint Form
• Health Benefit Links
  • United States Department of Labor - Employee Benefits
  • Health Insurance Portability and Accountability Act (HIPAA)
  • The Official U.S. Government Site for Medicare Information
  • Rhode Island Department of Health - Health Care
• Property & Casualty Insurance
  • Inquiries and Publications:
  • Access to Public Document Form
  • Consumers Guide to Auto Insurance
  • Uninsured Motorists:
    If you are involved in an accident with an uninsured motorist,
    please contact the Financial Responsibility Unit at the Division
    of Motor Vehicles at 401-222-2970.
    Workers' Compensation-Universal Coverage:
    For questions on universal coverage, please contact the
    Education Unit at the RI Department of Labor & Training,
    401-462-8125.
  • Fraud Reporting Requirements - Download
    Office of Automobile Theft and Insurance Fraud
    State Fire Marshall
    Workers' Compensation Fraud Prevention Unit
• Policy Statements & Bulletins
• Commercial Special Risk Bulletin P&C 00-01 (§27-65)
• Subrogation- Amended Policy Statement I-98-1 (§27-8-12)
• Special Filing Notice P&C 99-01
• Uninsured Motorists Bodily Injury Form Rejection
  Notice and Warning (§27-7-2.1)
• Rate, Rule & Form Filing Requirements_
  Go to Insurance Regulation and Forms Page
• Special P&C Reporting Requirements: - Download
  • Assigned Risk Plan Report
  • Automobile Insurance Annual Report
  • Liquor Liability Annual Report
  • Professional Liability Insurance Report
  • Workers' Compensation Annual Report
  • Workers' Compensation & Employers' Liability
  • Excess Profits Report
• Domestic Companies
  • Go to Insurance Regulation and Forms Page
• Foreign Companies
  • Go to Insurance Regulation and Forms Page
• Company Changes
  • Go to Insurance Regulation and Forms Page
  • Forms and Resources
  • Chapter 25 (RI Fraternal Code)
  • Database Update Questionnare
  • Exhibit B (Annual Contracted Producer Fee Requirement, and Suggested Reporting format)
  • Fee Schedule
  • Filings of Previously Approved Life Policy Forms
  • Regulation 30 (Foreign Company Applications)
  • Regulation 58 (Withdrawals from RI)
  • Retaliatory Statement
  • Insurance Division Power of Attorney and Certification
  • Initial and Renewal Licensing
  • Application for a RI Certificate of Authority (Insurance Companies)
  • Application for a RI Certificate of Authority (Fraternal Societies)
    

Miscellaneous Forms

• Power of Attorney Form