Greensboro Service Center Closure
The Greensboro Service Center is closed until further notice. We apologize for any inconvenience this may cause. Please call 1-877-252-3052 for assistance.
This form is to be used by all Captive Insurance Companies except Protected Cell Captive Insurance Companies, Special Purpose Captive Insurance Companies with a Cell or Series Structure, and Consolidated Groups in filing premium tax returns for 2022.