Statutory Deposit Forms

Statutory Deposit Forms

The Department’s custodian, US Bank, administers the collateral security program for the Department. The custodian can be contacted directly:

By phone at 877-877-2143 (toll free)

Or online services at

For information regarding confirmation or certification of insurer statutory deposits held by the Department, Request Certifications, Confirmations or Copies of Documents.

Any questions regarding insurer statutory deposits should be directed to:

Hasije Harris
Special Projects Manager

In Writing:
North Carolina Department of Insurance
Financial Analysis & Receivership Division
Financial Analysis Section
1203 Mail Service Center
Raleigh, NC 27699-1203