Application for Continuing Care Permit
Chapter 647, Wis. Stat.

To view any of the listed statutes, see the Wisconsin Revisor of Statutes Web site.

Application Forms

The following documents must be completed and returned for Application for Continuing Care Permit. The form is available to be downloaded below. Note, however, that you will need an Adobe Acrobat Reader to view or print the application form, which you can download at no cost from Adobe .

Application Form (opens in new window)


NAIC Company Code Application

A link to the NAIC Company Code Application form is provided below for your convenience. Note, however, that you will need an Adobe Acrobat Reader to view or print the application form, which you can download at no cost from Adobe . Continuing Care Retirement Communities need not file financial data with the NAIC but are required to obtain a NAIC Company Code. This assists with the collection of demographic statistics by state and federal authorities. Once the NAIC Company Code is issued, it remains in force for the entire existence of the Continuing Care Retirement Community.

NAIC Company Code Application (opens in new window)


Please direct questions to: Kristin Forsberg at (608) 266-9896 or kristin.forsberg@wisconsin.gov or ocifinancial@wisconsin.gov (please include your name, phone number, and e-mail address).