Annual Renewal Form

Submit Form 08-204rrg postmarked on or before December 31 of each year with the annual continuation fee of $200 to:

Rebecca Nesheim
Alaska Division of Insurance
P. O. Box 110805
Juneau, AK 99811-0805

Risk Retention Group Continuation of Registration: Form 08-204rrg

Please make checks payable to: Alaska Division of Insurance