Forms For Third Party Administrators

• Third-Party Administrator (TPA) Application Checklist - For reference only. Do not submit with application.
• Third-Party Administrator (TPA) Application Instructions
• Nevada Application for Third-Party Administrator (TPA) Form  
• Application Pro Forma Guidelines
• TPA Triennial Renewal Application Form New 
• TPA Bond Form
• Parental Guaranty for Third-Party Administrator (TPA), if applicable
• TPA Annual Reporting Form 
• TPA Annual Report Instructions New
• TPA Surrender Request New
• TPA Name Change Form New
• NAIC Biographical Affidavit

Please click on the links below to navigate the TPA website, or you may also use the links on the left menu.

Applications
Contact Information
FAQs
Mandatory Reporting
Renewal
Voluntary Surrender