Racetracks Forms

Office of Insurance and Safety Fire Commissioner

Ralph T. Hudgens

Commissioner

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Racetracks Forms

ATTENTION: TO ALL NEW APPLICANTS - EFFECTIVE 1/1/2012.

In accordance with state law, beginning January 1, 2012, the Office of Insurance and Safety Fire Commissioner will be changing its procedures regarding the verification of lawful presence of persons applying for all licenses, permits, registrations and certificates. Please click HERE for more information.

ATTENTION:

We have NEW IMPORTANT payment procedures. Please view them HERE.

Form #: 2009 Surplus Lines Insurance Affidavit $This is in the Adobe Portable Document format (pdf)\n$	Division: Safety Fire - Hazardous Materials	Published: 2011
Title: 2009 Surplus Lines Insurance Affidavit
2009 Surplus Lines Insurance Affidavit. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-244-SF $This is in the Adobe Portable Document format (pdf)\n$	Division: Safety Fire - Hazardous Materials	Published: 2012
Title: Racetrack License Application
Effective 1-1-2012, the Citizenship Affidavit Form GID-276-EN must be submitted with this application for processing. This form requires signing to be witnessed by a Notary Public and have them affix their Notary seal.

Form #: GID-SF-RIFR-001 $This is in the Adobe Portable Document format (pdf)\n$	Division: Safety Fire - Hazardous Materials	Published: 2011
Title: Racetrack Incident Report
Racetrack Incident Report

Form #: Racetrack Inspection Request $This is in the Adobe Portable Document format (pdf)\n$	Division: Safety Fire - Hazardous Materials	Published: 2011
Title: Racetrack Inspection Request
Application for Racetrack Inspection

Form #: Racetrack Insurance Verification Letter $This is in the Adobe Portable Document format (pdf)\n$	Division: Safety Fire - Hazardous Materials	Published: 2011
Title: Racetrack Insurance Verification Letter
Racetrack Insurance Verification Letter. This form is to be completed and signed by the insurance company.

5/21/2012 2:43:35 PM

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