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