The forms listed in this section are published by the department and filed with the Office of the Secretary of State, Texas Register Division. Copies of the forms may be obtained from the Texas Department of Insurance, CCRC Section, Insurer Services, Mail Code 305-2C, P.O. Box 149104, Austin, Texas 78714-9104. The department adopts and incorporates by reference the forms listed in paragraphs (1)-(16), and their use is required, where applicable, for compliance with the provisions of this chapter:

1. (1) CCRC Form Number 1--Application for Certificate of Authority to do Business in the State of Texas under the Act, §246.022;
2. (2) CCRC Form Number 2--Application for Approval by the Commissioner for Release of Loan Reserve Fund Escrow Account Amounts in Excess of that Allowed Under the Act, §246.078(a);
3. (3) CCRC Form Number 3--Officers and Directors Page;
4. (4) CCRC Form Number 4--Biographical Data Form;
5. (5) CCRC Form Number 4a--Biographical Data Form for Not-for-Profit CCRC Board Members;
6. (6) CCRC Form Number 5--Acknowledgment of Delivery of Disclosure Statement;
7. (7) CCRC Form Number 6--Form for Disclosure Statement;
8. (8) CCRC Form Number 6a--Instructions for Preparation of CCRC Disclosure Statement for Filing with the Texas Department of Insurance;
9. (9) CCRC Form Number 7--Application for Change of Control of CCRC;
10. (10) CCRC Form Number 8--Certification of Changes to Disclosure Statement;
11. (11) CCRC Form Number 9--Notice of Request to Release Entrance Fee Escrow Account Funds;
12. (12) CCRC Form Number 10--Notice of Request to Release Funds from the Reserve Fund Escrow Account;
13. (13) CCRC Form Number 11--Notice by Provider of Repayment of Previously Released Funds to the Reserve Fund Escrow Account;
14. (14) CCRC Form Number 12--Affidavit of Repayment of Previously Released Funds to the Reserve Fund Escrow Account;
15. (15) CCRC Form Number 13--Notice of Lien; and
16. (16) CCRC Form Number 14--Calculations Concerning Conditions for Release of Entrance Fees to Provider.

Source Note:The provisions of this §33.8 adopted to be effective March 9, 1989, 14 TexReg 986; amended to be effective March 14, 1996, 21 TexReg 1765.