Get the free Surplus Lines Affidavit Form SL-8 State of

Reset Form Affidavit Control No. Surplus Lines Affidavit (Form SL8) State of Connecticut Insurance Department (Rev. 09/2012) 1. Name and Address of Surplus Lines Broker 2. Producing Agent (not agency)

How to fill out surplus lines affidavit form

How to fill out a surplus lines affidavit form:

1. Begin by carefully reading the instructions provided with the form. Familiarize yourself with the requirements and any specific guidelines mentioned.
2. Fill in your personal information accurately. This may include your name, address, phone number, and email address. Ensure that all details are legible and up to date.
3. Identify the insurance company or agency you are affiliated with. Provide the necessary information such as the company name, address, and contact details.
4. Specify the insured party or parties. If you are filling out the form on behalf of a client, include their name, contact information, and any other requested details.
5. Include the policy information. This typically includes the policy number, coverage period, and details about the insured item(s) or risk(s).
6. Indicate the type of insurance being applied for. Certain types of insurance may require additional documentation or approval, so make sure to accurately select the appropriate category.
7. Attach any supporting documentation that may be required. This can include proof of payment, a copy of the insurance policy, or any other relevant paperwork. Ensure that all attachments are securely fastened and clearly labeled.
8. Review the completed form for any errors or omissions. Double-check that all sections have been filled out correctly and that all necessary information has been provided. Make any necessary corrections or additions.
9. Sign and date the affidavit form. By doing so, you confirm that the information provided is true and accurate to the best of your knowledge. If applicable, include any other required signatures.

Who needs a surplus lines affidavit form:

1. Insurance professionals working in the surplus lines market
2. Agents and brokers who are involved in placing surplus lines insurance coverage
3. Insurance companies that underwrite surplus lines policies
4. Individuals or businesses seeking coverage from a surplus lines insurer
5. State insurance authorities who require documentation or filings related to surplus lines insurance

It is important to note that the requirement for a surplus lines affidavit form may vary depending on the jurisdiction and specific regulations in place. It is advisable to consult with the relevant authorities or seek legal advice to determine if filing a surplus lines affidavit is necessary in your particular situation.

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What is surplus lines affidavit form?

Surplus lines affidavit form is a document that must be filed by insurance brokers or agents for insurance policies that are not available from licensed insurers within the state.

Who is required to file surplus lines affidavit form?

Insurance brokers or agents are required to file surplus lines affidavit form.

How to fill out surplus lines affidavit form?

Surplus lines affidavit form can be filled out by providing details of the insured, the policy coverage, the insurer, and other relevant information as required by the state.

What is the purpose of surplus lines affidavit form?

The purpose of surplus lines affidavit form is to ensure that insurance coverage is obtained from non-admitted insurers when coverage is not available from licensed insurers within the state.

What information must be reported on surplus lines affidavit form?

Information such as insured details, policy coverage, insurer details, and other relevant information must be reported on surplus lines affidavit form.