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Texas Department of Insurance
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Government Relations Forms

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TDI form number Description Format Language
ER011 Board of Directors Application – Financial
Complete this application for the following boards and committees: • Texas Life and Health Insurance Guaranty Association (TLHIGA) board of directors; • Texas Property and Casualty Insurance Guaranty Association (TPCIGA) board of directors; and • Texas Title Insurance Guaranty Association (TTIGA) board of directors.
HTML English
ER012 Board of Directors Application – Regulatory
Complete this application for the following boards and committees: • Fair Access to Insurance Requirements (FAIR) Plan governing committee; • Fraud unit training advisory board; • Texas Medical Liability Insurance Underwriting Association (JUA) board of directors; • Standard request form for prior authorization of prescription drug benefits advisory committee; and • Texas Automobile Insurance Plan Association (TAIPA) governing committee.
HTML English
ER013 Board of Directors Application – Stamping Office
Complete this application specifically for the SLTX board.
HTML English
ER014 Board of Directors Application – TWIA
Complete this application specifically for the TWIA board.
HTML English
FR032 Fraud Unit Training Advisory Board Eligibility Verification
Complete this in addition to the General Advisory Board and Committee Application (ER011) for consideration. **Only complete this form if you apply for the Fraud Unit training advisory board.**
PDF English

For more information, contact: GovernmentRelations@tdi.texas.gov