Nebraska Department of Insurance

Nebraska Department of Insurance




PREMIUM TAX AND OTHER REQUIRED FILINGS FORMS
For the Year Ended December 31, 2012

IMPORTANT IMPORTANT IMPORTANT IMPORTANT

ALL FORMS HAVE BEEN UPDATED. PLEASE REVIEW THE NEW FORMS CAREFULLY.


This site contains the majority of the Premium Tax forms that are required to be filed with the Department. However, certain company types were not included as options for download. A complete packet will be mailed the first week of January 2012 to those foreign company types that do not fall under Property & Casualty, Life & Health, HMO, or Title types. If you do not find the Premium Tax packet for your company and you do not receive a tax packet from the Department by January 15, 2013, please contact Martha Hettenbaugh either by e-mail at Martha.Hettenbaugh@nebraska.gov or calling 402-471-2201.

If you need to look up your SBS Comapny I.D. Number, click here. This number will be identified as Comapny #.

If you have trouble downloading these forms, please contact Gary Timm at 402-471-2208.


Please choose your company's state of domicile or port-of-entry state from the following list:

Alabama

Alaska

Arizona

Arkansas

California

Colorado

Connecticut

Delaware

District of Columbia

Florida

Georgia

Hawaii

Idaho


Illinois

Indiana

Iowa

Kansas

Kentucky

Louisiana

Maine

Maryland

Massachusetts

Michigan

Minnesota

Mississippi

Missouri


Montana

Nebraska

Nevada

New Hampshire

New Jersey

New Mexico

New York

North Carolina

North Dakota

Ohio

Oklahoma

Oregon

Pennsylvania


Rhode Island

South Carolina

South Dakota

Tennessee

Texas

Utah

Vermont

Virginia

Washington

West Virginia

Wisconsin

Wyoming

Canada