Non-survivor In a Merger or Conversion Transaction

​​​​​​Last Updated: November 4, 2024​

If your company was the non-survivor in a merger or conversion transaction, filing of ​your Schedule of Fees and Fire Dues form and payment should be made by paper form and check sent directly to this office.  Non-survivor company FEINs will not be recognized by our electronic payment system, nor by the US Bank drawer. ​

Please send the tax form and payment to:

Office of the Commissioner of Insurance
Attn:  Tanisha Redict
PO Box 7873
Madison, WI 53703

Or overnight:

Office of the Commissioner of Insurance
Attn:  Tanisha Redict
101 East Wilson Street
Madison, WI 53707