28 Tex. Admin. Code § 12.102 – Application and Renewal of Certificate of Registration Form; How to Obtain Forms

(a) The commissioner adopts by reference Form No. LHL006 (IRO Application Form) to be used for application for a certificate of registration and for renewal of a certificate of registration as an independent review organization in this state.
(b) The commissioner adopts by reference Form No. FIN311 (Biographical Affidavit) to be used as an attachment to Form No. LHL006 (IRO Application Form), the application for the certificate of registration and for renewal of a certificate of registration as an independent review organization in this state.
(c) The forms are available at http://www.tdi.state.tx.us/forms. The forms may also be obtained from the Texas Department of Insurance, Mail Code 103-6A, 333 Guadalupe, P.O. Box 149104, Austin, Texas 78714-9104.

Source Note:The provisions of this §12.102 adopted to be effective November 26, 1997, 22 TexReg 11363; amended to be effective December 26, 2010, 35 TexReg 11281.