Get the free suplus lines affidavit - Boston Insurance Specialists
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Form BR7 AFFIDAVIT BY ASSURED Affidavit # 20 I/We of do hereby state that in, 20, I/We directed my/our Insurance Broker to obtain insurance against certain risks as described herein. My/Our Insurance
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How to fill out suplus lines affidavit
How to fill out suplus lines affidavit
01
Read the instructions carefully before filling out the surplus lines affidavit.
02
Gather all the necessary information and documents required for completing the affidavit.
03
Fill in your personal details such as name, address, contact information, etc. in the designated sections of the affidavit.
04
Provide accurate information about the surplus lines insurance you are reporting.
05
Include any supporting documents or attachments as specified in the instructions.
06
Double-check all the information filled in the affidavit for any errors or omissions.
07
Sign and date the affidavit at the designated space.
08
Submit the completed surplus lines affidavit to the appropriate authority as per their instructions.
Who needs suplus lines affidavit?
01
Insurance brokers or agents who deal with surplus lines insurance need to fill out the surplus lines affidavit.
02
Individuals or businesses who have purchased surplus lines insurance from non-admitted insurance carriers may also be required to submit a surplus lines affidavit.
03
Regulatory authorities or insurance departments may request surplus lines affidavit from certain individuals or businesses for compliance or monitoring purposes.
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What is surplus lines affidavit?
Surplus lines affidavit is a form that insurance companies must file to report information about excess or surplus lines insurance policies written during a specific period.
Who is required to file surplus lines affidavit?
Insurance companies that write excess or surplus lines insurance policies are required to file surplus lines affidavit.
How to fill out surplus lines affidavit?
Surplus lines affidavit can be filled out by providing information about the insurance policies written, including policyholder details, premium amounts, and coverage types.
What is the purpose of surplus lines affidavit?
The purpose of surplus lines affidavit is to ensure that insurance companies are compliant with regulations regarding excess or surplus lines insurance policies.
What information must be reported on surplus lines affidavit?
Information such as policyholder details, premium amounts, coverage types, and policy effective dates must be reported on surplus lines affidavit.
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