Form: Duties form: Insurance Duty - Application for registration as an insurer


What is the purpose of this form?

This form must be used by insurers to register under section 186 of the Duties Act 2000.

Who can complete this form?

This form can be completed by the insurer or an agent of the insurer.

How is this form lodged?

This form is completed and lodged online. When you have completed all relevant and mandatory information, please select submit. The information provided will then be forwarded electronically to the SRO and you will be directed to a receipt page. Please download and save a copy of the receipt from this page.

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State Revenue Office - Victoria