Guam Department of Revenue and Taxation

Guam Department of Revenue and Taxation

Insurance

• Checklist for Application for Surplus-Line Broker License(32K)
• I-10A: Application for Broker's or Adjuster's License(81KB)
• Requirements for Non-Resident Licensing of Insurance Agents(26KB)
• Business License Certificate of Authority Sample(18KB)
• Checklist for New Certificate of Authority(231KB)
• New Application for Certificate of Authority(245KB)
• New Application for Certificate of Authority with Checklist (I-1,I-2, I-3, I-4, I-5, I-9)(316KB)
• COA Renewal Letter – 2011-2012 (42KB)
• Renewal of Certificate of Authority Packet, with Checklist (I-1, I-3, I-4, I-6, I-7, I-8, I-9)(463KB)
• I-1: Renewal Application for Certificate of Authority (215KB)
• I-2: Agreement & Power of Attorney(228KB)
• I-3: Insurance Company's Bond (224KB)
• I-4: Deposit Agreement in Lieu of Bond(193KB)
• I-5: Appointment of General Agent (226KB)
• I-6: Request for Renewal of General Agent's License (231KB)
• I-7: Affidavit of Compliance (232KB)
• I-8: Statement of Commercial and Industrial Liability Insurance Premiums Written in Guam(257KB)
• I-9: Tax Clearance Application Form (471KB)
• I-10: Application for General Agent's or Subagent's License (110KB)
• I-12: Appointment of Subagent (38KB)

Insurance Fees