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Supplement Filing for County Mutuals. The purpose of the Texas Supplemental A for County Mutuals form is to identify: 1.Agencies writing the Company's premium. 2. Easy to use and ready to print;; Quick to customize;; Compatible with most PDF-viewing applications;; Fill out the form in our online filing application. (d) NAIC and TDI specific forms and instructions. Call the Department of Insurance at 1-800-252-3439. Ask for Form TDI-45, Claim for TDI Benefits, from the employer. A TDI claim must be filed within 90 days of the start of the disability period. Find available moving truck rentals at great rates, with all the moving supplies you need. Join the other Americans who rent with Budget Truck Rental.