These forms are for inusrance company use only.
Uniform
Suspected Insurance Fraud Reporting Form
Instructions
for the Fraud Reporting Form
Note: The form is in Microsoft
Word format. You may enter your information, print a hard copy, and mail it to Fraud Prevention Bureau, 841 Silver Lake Blvd., Dover, DE 19904. Or, complete the form, save it on your computer and then e-mail it to fraud@deins.state.de.us.
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Effective November 1, 2007, all filings must be submitted through SERFF. Hardcopy filings will no longer be accepted.
General Instructions
Small Employer Carrier Annual Information Filing Form
Click here to read the Memorandum from the Director
State Specific Requirements
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Effective November 1, 2007, all filings must be submitted through SERFF. Hardcopy filings will no longer be accepted.
General Instructions
State Specific Requirements
Certification of Readability
Form A (from Regulation 603)
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