Allan L. McVey
Surety Insurer Bail Bond Reporting Form
Please report required bond information by the 15th day after each calendar year quarter end.
1st Quarter - Aggregate Bond Liabilities as of March 31; report due to the OIC by April 15.
2nd Quarter - Aggregate Bond Liabilities as of June 30; report due to the OIC by July 15.
3rd Quarter - Aggregate Bond Liabilities as of September 30; report due to the OIC by October 15.
4th Quarter - Aggregate Bond Liabilities as of December 31; report due to the OIC by January 15.
Surety Insurer Bail Bond Quarterly Reporting Form
NAIC Company Code
Insurer Contact First Name
Insurer Contact Last Name
Insurer Contact E-Mail
Insurer Contact Phone Number
Quarter Report for
January - March
Aggregate Number of Outstanding Bonds
Aggregate Bond Liability for all Outstanding Bonds
I state that I have fully read and understand this monthly bail bond statement and that the answers supplied therein are true and correct to the best of my knowledge and belief and I further state that I recognize the applicable insurance laws of the State of West Virginia and the rules and regulations of the West Virginia Insurance Commissioner governing this quarterly statement - Title 114-CSR103.