Fillable Printable Form Usage Schedule
Fillable Printable Form Usage Schedule
Form Usage Schedule
PC424 | 0917
Print
FORM USAGE TABLE
(Optional/Mandatory/Conditional Mandatory)
This table provides supporting information intended for TDI’s use during the review of the filing. It may not reflect the final approved forms in the filing.
Optional—The policy form or endorsement will be used only if the insured chooses to add it to the insured’s policy. Example: Optional—Personal Articles Endorsement
Mandatory—The policy form or endorsement will be required on all policies. Example: Mandatory—Special Provisions - Texas
Conditional Mandatory—The policy form or endorsement will be required under certain situations. Example: Conditional Mandatory—Cosmetic Damage for Metal Roofs Exclusion
(Use more than one page if needed.)
FORM NAME
FORM NUMBER
FORM USAGE
Texas Department of Insurance | www.tdi.texas.gov 1/1
CONTINUATION
PC424 | 0917
FORM USAGE TABLE
(Optional/Mandatory/Conditional Mandatory)
FORM NAME
FORM NUMBER
FORM USAGE
Texas Department of Insurance | www.tdi.texas.gov (CONTINUED)
