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STATE OF CONNECTICUT INSURANCE DEPARTMENT FORM SL8 (Rev. 04/04) AFFIDAVIT CONTROL NO. SURPLUS LINES AFFIDAVIT 1. Name and Address of Surplus Lines Broker 2. Producing Agent (not agency) CT LIC. No.
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How to fill out surplus lines affidavitdoc
01
To fill out the surplus lines affidavitdoc, start by obtaining the form from your insurance provider or the relevant regulatory agency.
02
Read through the instructions provided with the form to understand the specific requirements and information that need to be included.
03
Begin by filling in your personal and contact information accurately. This may include your name, address, phone number, and email address.
04
Provide details about the insurance policy for which you are filling out the affidavitdoc. This may include the policy number, effective dates, and the name of the insurance provider.
05
Specify the type of policy being covered by the surplus lines insurance. This could be property insurance, casualty insurance, professional liability insurance, or any other applicable type.
06
Indicate the insured party by providing their name, address, and any relevant identification numbers if required.
07
Include information about the insured property or risk being covered by the policy. This may involve providing details about the location of the property, its value, and any specific risks associated with it.
08
If applicable, mention any subagents involved in securing the surplus lines insurance and provide their information.
09
Sign and date the affidavitdoc, attesting that the information provided is true and accurate to the best of your knowledge.
10
Submit the completed surplus lines affidavitdoc to the relevant regulatory agency or insurance provider by the specified deadline.
Surplus lines affidavitdocs are typically required by insurance brokers, agents, or other professionals involved in securing surplus lines insurance for clients. These professionals may be required to submit the affidavitdoc to the state insurance department or other regulatory bodies to comply with the regulations governing surplus lines insurance. It is important to check with your local insurance regulatory agency to determine if you need to fill out a surplus lines affidavitdoc and what specific requirements apply to your situation.
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What is surplus lines affidavitdoc?
Surplus lines affidavitdoc is a legal document used to report details of insurance policies obtained from non-admitted insurance companies.
Who is required to file surplus lines affidavitdoc?
Insurance agents and brokers are typically required to file surplus lines affidavitdoc.
How to fill out surplus lines affidavitdoc?
Surplus lines affidavitdoc must be filled out with accurate information about the non-admitted insurance policies, including policyholder details and coverage limits.
What is the purpose of surplus lines affidavitdoc?
The purpose of surplus lines affidavitdoc is to ensure that non-admitted insurance policies are properly reported to regulatory authorities.
What information must be reported on surplus lines affidavitdoc?
Information such as policyholder name, policy effective dates, coverage limits, and premium amounts must be reported on surplus lines affidavitdoc.
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