Application for Certificate of Authority
Nondomestic Insurers
Chapter 618, Wis. Stat.

Effective October 18, 2000, Wisconsin began use of the NAIC Uniform Certificate of Authority Application (UCAA) for applications for nondomestic Life and Property & Casualty insurers. A link to the NAIC UCAA site is provided below.

The following are Wisconsin specific forms to be submitted with the application. Note, however, that you will need an Adobe Acrobat Reader to view or print the forms below, which you can download at no cost from Adobe .

Designation of Registered Agent for Service of Process (opens in new window)
  Fill and Print Version (opens in new window)

Compulsory and Security Surplus Calculation

Wisconsin Retaliatory Fees and Surplus Requirements (opens in new window)

Wisconsin Insurance Laws and Regulations

Please direct questions to: Kristin Forsberg, (608) 266-9896,, or (please include your name, phone number, and e-mail address).