FORM CR-1
CERTIFICATE OF CERTIFIED REINSURER
I, ___________________, ________________________ (name of officer) | (title of officer) |
of _____________________________________________, (name of assuming insurer) the assuming insurer under a reinsurance agreement with one or more insurers domiciled in Washington, in order to be considered for approval in this state, hereby certify that: _____________________________ ("Assuming Insurer"): (name of assuming insurer) |
Dated: _______________ ________________________ | (name of assuming insurer) | |
BY: ________________________________ | (name of officer) | |
__________________________ | (title of officer) |
Wash. Admin. Code § 284-13-59501