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Vermont Captive Forms

Title 8 Vermont Statutes Annotated: Chapter 141. Captive Insurance Companies; Chapter 142. Risk Retention Groups and Purchasing Groups; Chapter 142A. Risk Retention Managing General Agents and Reinsurance Intermediaries

Captive Insurance Regulation C-81-2

Captive Insurance Regulation 99-2

Application for Admission 

Application for Authorization to Certify Loss Reserves

Irrevocable Letter of Credit (This form has been recently revised and is not yet converted to a 'fillable version. It is a regular PDF.)

Biographical Affidavit

For more information: Vermont Department of Financial Regulation's Website.