Insurance Carrier Quarterly Tax Forms

Administrative Support Division
Self-Insurance Section
Phone: (602) 542-1839

TO ACCESS FORMS OR INSTRUCTIONS, CLICK ON A LINK BELOW.

• 2016 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2016 Insurance Carrier Quarterly Tax Form (Admin & Spec Fund) (Excel)

• 2015 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2015 Insurance Carrier Quarterly Tax Form (Admin & Spec Fund) (Excel)

• 2014 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2014 Insurance Carrier Quarterly Tax Form (Admin & Spec Fund) (Excel)

• 2013 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2013 Insurance Carrier Quarterly Tax Form (Admin & Spec Fund) (Excel)

• 2012 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2012 Insurance Carrier Quarterly Tax Form (Admin & Spec Fund) (PDF)

• 2011 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2011 Insurance Carrier Quarterly Tax Form (Admin & Spec Fund) (PDF)
  • 2011 Insurance Carrier Quarterly Tax Form Information (Admin & Spec Fund) (PDF)

• 2010 Insurance Carrier Quarterly Tax Forms & Information
   
  • 2010 Insurance Carrier Administrative Fund Quarterly Tax Form (PDF)
  • 2010 Insurance Carrier Administrative Fund Quarterly Tax Form Information (PDF)
  • 2010 Insurance Carrier Special Fund Quarterly Tax Form (PDF)
  • 2010 Insurance Carrier Special Fund Quarterly Tax Form Information (PDF)