Insurance Premium Tax

Current Insurance Premium Tax Forms

Quarterly Insurance Return (1/1/16 to Current) (Not for reporting Industrial Insurance)

This form is for the reporting of Insurance Premium tax on a quarterly basis. If you reported under $2000 in tax last year you do not need to file this form. Insurers who have Industrial Insurance Premiums to report will have to use Industrial Insurance Premiums tax return.
pdf document

Quarterly Industrial Insurance Return (1/1/16 to Current) (For Reporting Industrial Insurance only)

Please use this form to report Industrial Insurance Premium tax on a quarterly basis. If you reported under $2000 in tax last year you do not need to file this form. Insurers who have Insurance Premiums to report will need to use the regular Insurance return.
pdf document

Annual Reconciliation Insurance Return (10/1/16 to Current) (Not for reporting Industrial Insurance)

This return is for reporting of the 2016 Annual Reconciliation Insurance Premium tax. This is the form if you filed Insurance Premium tax quarterly returns. Insurers who have Industrial Insurance Premiums to report will need to use the Industrial Insurance Returns.
pdf document

Annual Reconciliation Industrial Insurance Return (10/1/16 to Current) (For reporting Industrial Insurance only)

This return is for reporting of the 2016 Annual Reconciliation Industrial Insurance Premium tax. Use this form if you filed Industrial Insurance Premium tax quarterly returns. Do not report regular insurance premiums on this form.
pdf document

Independently Procured Insurance Form

To report Insurance Premium tax where the coverage was purchased from an unauthorized, foreign or alien insurer. Payment is to be made within 30 days after the date the policy was procured, continued or renewed.
pdf document

Prior Insurance Premium Tax Forms

Annual Reconciliation Insurance Return (10/1/15 to 9/30/16) (Not for reporting Industrial Insurance)

This return is for reporting of the 2015 Annual Reconciliation Insurance Premium tax. This is the form if you filed Insurance Premium tax quarterly returns. Insurers who have Industrial Insurance Premiums to report will need to use the Industrial Insurance Returns.
pdf document

Annual Reconciliation Industrial Insurance Return (10/1/15 to 9/30/16) (For reporting Industrial Insurance only)

This return is for reporting of the 2015 Annual Reconciliation Industrial Insurance Premium tax. Use this form if you filed Industrial Insurance Premium tax quarterly returns. Do not report regular insurance premiums on this form.
pdf document

Quarterly Insurance Return (10/1/14 to 12/31/15) (Not for reporting Industrial Insurance)

This form is for the reporting of Insurance Premium tax on a quarterly basis. If you reported under $2000 in tax last year you do not need to file this form. Insurers who have Industrial Insurance Premiums to report will have to use Industrial Insurance Premiums tax return.
pdf document

Quarterly Industrial Insurance Return (10/1/14 to 12/31/15) (For Reporting Industrial Insurance only)

Please use this form to report Industrial Insurance Premium tax on a quarterly basis. If you reported under $2000 in tax last year you do not need to file this form. Insurers who have Insurance Premiums to report will need to use the regular Insurance return.
pdf document

Annual Reconciliation Insurance Return (10/1/14 to 9/30/15) (Not for reporting Industrial Insurance)

This return is for reporting of the 2014 Annual Reconciliation Insurance Premium tax. This is the form if you filed Insurance Premium tax quarterly returns. Insurers who have Industrial Insurance Premiums to report will need to use the Industrial Insurance Returns.
pdf document

Annual Reconciliation Industrial Insurance Return (10/1/14 to 9/30/15) (For reporting Industrial Insurance only)

This return is for reporting of the 2014 Annual Reconciliation Industrial Insurance Premium tax. Use this form if you filed Industrial Insurance Premium tax quarterly returns. Do not report regular insurance premiums on this form.
pdf document

Quarterly Insurance Return (1/1/13 to 9/30/14) (Not for reporting Industrial Insurance)

This form is for the reporting of Insurance Premium tax on a quarterly basis. If you reported under $2000 in tax last year you do not need to file this form. Insurers who have Industrial Insurance Premiums to report will have to use Industrial Insurance Premiums tax return.
pdf document

Quarterly Industrial Insurance Return (1/1/13 to 9/30/14) (For Reporting Industrial Insurance only)

Please use this form to report Industrial Insurance Premium tax on a quarterly basis. If you reported under $2000 in tax last year you do not need to file this form. Insurers who have Insurance Premiums to report will need to use the regular Insurance return.
pdf document

Annual Reconciliation Insurance Return (1/1/13 to 9/30/14) (Not for reporting Industrial Insurance)

This return is for reporting of the 2013 Annual Reconciliation Insurance Premium tax. This is the form if you filed Insurance Premium tax quarterly returns. Insurers who have Industrial Insurance Premiums to report will need to use the Industrial Insurance Returns.
pdf document

Annual Reconciliation Industrial Insurance Return (1/1/13 to 9/30/14) (For reporting Industrial Insurance only)

This return is for reporting of the 2013 Annual Reconciliation Industrial Insurance Premium tax. Use this form if you filed Industrial Insurance Premium tax quarterly returns. Do not report regular insurance premiums on this form.
pdf document