FL Surplus Lines Service Office Statement of Diligent Effort 2000 free printable template

STATEMENT OF DILIGENT EFFORT Has sought to obtain: DI41153 7/00 Document Very?ed by Surplus Lines Agent: Yes No Producing Agent: License #: Name of Agency:

How to fill out FL Surplus Lines Service Office Statement

How to fill out FL Surplus Lines Service Office Statement of Diligent

1. Obtain the FL Surplus Lines Service Office Statement of Diligent form from the official website or your insurance provider.
2. Fill in the policyholder's name and contact information at the top of the form.
3. Provide details about the insurance policy including the type of coverage, policy number, and effective dates.
4. Include information about the surplus lines insurer, such as the name and address.
5. Indicate the reason for placing the insurance with a surplus lines insurer, including any diligent efforts made to find coverage in the admitted market.
6. Sign and date the form to certify that the information provided is accurate and complete.
7. Submit the completed form to the appropriate department or office as instructed.

Who needs FL Surplus Lines Service Office Statement of Diligent?

1. Insurers or insurance agents who are looking to place insurance coverage with surplus lines insurers.
2. Individuals or businesses seeking insurance options that are not available in the admitted market.

People Also Ask about

What is a diligent search?

Diligent Search means the Deputy Sheriff made a strong attempt to complete service on the requested party was unable to do so. The most common reason for a Diligent Search usually involves incorrect address information, a party that has recently changed residences, a business closing or refusal to accept service.

What is SL 2 form?

The SL-2 form gives information about the coverage being placed and also details your efforts to place the risk with an admitted (licensed) California insurer.

What is a diligent search form?

What is a Diligent Search? A diligent search is a surplus lines regulatory requirement. It establishes that coverage for a risk is unavailable from admitted insurers. The policy seeker must submit an affidavit confirming that an admitted carrier declined the risk. Diligent search is also known as diligent effort.

What is diligent effort surplus lines?

When writing surplus lines business, it is the obligation of the surplus line broker to maintain a copy of the originating producer's documentation of diligent effort. The diligent effort is confirmation that coverage has been requested and declined from authorized insurers within the admitted market.

What is a diligent effort form?

What is a Diligent Effort? Diligent effort means seeking coverage from and having been rejected by at least three admitted insurers currently writing the type of coverage documented in the rejections.

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What is FL Surplus Lines Service Office Statement of Diligent?

The FL Surplus Lines Service Office Statement of Diligent is a document that brokers must complete to demonstrate their diligence in placing insurance coverage with surplus lines insurers, ensuring compliance with Florida's insurance regulations.

Who is required to file FL Surplus Lines Service Office Statement of Diligent?

Surplus lines brokers licensed in Florida are required to file the FL Surplus Lines Service Office Statement of Diligent.

How to fill out FL Surplus Lines Service Office Statement of Diligent?

To fill out the FL Surplus Lines Service Office Statement of Diligent, brokers must provide specific policy information, details about their diligent efforts to secure coverage, and any relevant insurer information as outlined in the instructions provided with the form.

What is the purpose of FL Surplus Lines Service Office Statement of Diligent?

The purpose of the FL Surplus Lines Service Office Statement of Diligent is to ensure that surplus lines brokers are adhering to legal requirements, maintaining transparency in their placement of insurance, and confirming that coverage cannot be obtained from authorized insurers.

What information must be reported on FL Surplus Lines Service Office Statement of Diligent?

The information required on the FL Surplus Lines Service Office Statement of Diligent includes the name and contact information of the broker, policy details including coverage amounts, the names of insurers approached, reasons for the selection of surplus lines insurers, and evidence of diligent efforts to obtain coverage.