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Group Name 3. Company Name 4. Mailing Address 5. Company Contact Person Title Phone Number 6. Provide your FAX number 800 number EFFECTIVE DATE OF THIS FILING CHECK APPROPRIATE BOX TYPE OF ANNUAL FILING COVERAGE CODES CERFITICATION - FORM OIR-B1-586 EXEMPTION 040 - HOMEOWNERS EXTENSION - COMMERCIAL MULTI PERIL OTHER - PERSONAL INLAND MARINE NEW LINE - PPA LIABILITY REVISED DATE - PPA PHYSICAL DAMAGE - MOBILE HOME MULTIPLE PERIL - MOBILE HOME PHYS...
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What is fl statute 6270645 form?
The fl statute 6270645 form is a legal document required by the state of Florida under Florida Statute 627.0645. It is used to report certain information about insurance policy cancellations, non-renewals, or renewals with a modified coverage or premium.
Who is required to file fl statute 6270645 form?
Insurance companies operating in the state of Florida are required to file the fl statute 6270645 form when there is a cancellation, non-renewal, or renewal with a modified coverage or premium of an insurance policy.
How to fill out fl statute 6270645 form?
To fill out the fl statute 6270645 form, the insurance company needs to provide the required information such as policy details, reason for cancellation, non-renewal or modification, effective dates, and any other information as required by the form. The completed form should be submitted to the appropriate regulatory authority in Florida.
What is the purpose of fl statute 6270645 form?
The purpose of the fl statute 6270645 form is to ensure transparency and accountability in insurance policy cancellations, non-renewals, or renewals with modified coverage or premium. It allows regulators to monitor and oversee these actions to protect policyholders' rights and ensure compliance with state regulations.
What information must be reported on fl statute 6270645 form?
The fl statute 6270645 form requires the reporting of important information, including policy details (policy number, type of coverage, etc.), reason for cancellation, non-renewal or modification, effective dates, and any other information as required by the form or state regulations.
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