Forms and Resources
Annual Filings
Annual Premium Tax Forms
Annual Report – Pure Captives
Annual Report – Non-Pure Captives except RRGs
Captive Application
Captive Application for Certificate of Authority
Uniform Consent to Service of Process
Protected Cell Application for Sponsored Captives
Business Plan Template
Nevada Secretary of State Website
Dormancy Application
Application for Dormancy
Application to Surrender Dormancy
Additional Forms
Irrevocable Letter of Credit
Non-RRG Captive Dividend Request
Address Change
Biographical Affidavit
Contact captives@doi.nv.gov for the following forms:
Incoming Funds Notification Form
Dissolution Checklist
Re-domestication Checklist
Guidance and White Papers
Guidance on Captive Applications (Coming Soon)
Guidance on Business Plans (Coming Soon)
White Paper - Protected Cells and the Series LLC (Coming Soon)
Nevada Revised Statutes
NRS:CHAPTER 694C - CAPTIVE INSURERS (state.nv.us)
NAC: CHAPTER 694C -CAPTIVE INSURERS (state.nv.us)
NRS: CHAPTER 86 -LIMITED-LIABILITY COMPANIES
NRS: CHAPTER682A - INVESTMENTS
Additional Resources*
Follow the links below to learn more about the captive insurance
industry, connect with other professionals, and learn more about doing business
in Nevada.
*The opinions and content
provided on these websites are solely their own and not those of the Division.
- Captive.com – Captive.com is a website which hosts news articles and serves as an encyclopedia of captive information.
- International Center for Captive Insurance Education (ICCIE) - Offers certification courses for captive owners, managers, and regulators recognized by the global industry.
- Nevada Captive Insurance Council - Nevada’s leading captive association.
- Captive Insurance Companies Association (CICA) - A worldwide non-domiciliary specific association for captive insurers.
- Nevada’s State Economic Development Experts - Nevada Governors Office of Economic Development
Check out
these pages to find out more about Nevada Captives:
About Nevada Captives
Types of Captives
Application Process
Annual Reports, Fees, and Taxes
Captive Service Providers
Forms and Resources
Frequently Asked Questions
Meet the Team