Licensing Requirements and Forms

Please find all forms and filing requirements for the licensing of North Carolina Captive Insurance Companies including domestic Risk Retention Groups below

• Requirements for Captive Insurer License and Redomestication Applications
• Captive Manager Application
• Captive Insurer License Application
• Captive Insurer Redomestication Application
• Form C-101 Biographical Affidavit
• Form C-103 Captive Consent to Service of Process
• Form C-104 Financial Statement Attestation
• Form C-105 Special Purpose Financial Captive Insurer Affidavit
• Letter of Credit (LOC) Guideline