Every application for an insurer securities permit shall be appropriately entitled below the caption. An example of the most common entitlement is:

BEFORE THE DEPARTMENT OF INSURANCE OF THE STATE OF CALIFORNIA

In the Matter of the Application of

)

ABC INSURANCE COMPANY

)

File No.

Sacramento, California

)

Filed

For a Permit to Offer and Sell

)

Shares of its Capital Stock.

)

APPLICATION FOR PERMIT

For additional examples refer to the composite sample forms of applications in the addenda to these regulations.