Get the free Surplus Lines Statement (Form SL-8) - qsrnj.com

Reset Form Control No. Surplus Lines Statement (Form SL8) State of Connecticut Insurance Department (Rev. 07/2013) 1. Name and Address of Surplus Lines Broker NIF Group, Inc. P.O. Box 451, Guilford

How to fill out surplus lines statement form

How to fill out surplus lines statement form

1. To fill out a surplus lines statement form, follow these steps:
2. Obtain the surplus lines statement form from the appropriate regulatory authority or insurance company.
3. Provide the required information about the insured, including their name, address, and contact details.
4. Fill in the policy details, such as the policy number, effective date, and expiration date.
5. Declare the type of coverage provided by the surplus lines policy.
6. Fill out the details of the insurance broker or agent involved in the transaction.
7. Include information about the insurance company or companies that provide coverage through the surplus lines policy.
8. Declare the premium amount paid for the surplus lines coverage.
9. Attach any supporting documents or endorsements as required.
10. Review the completed form for accuracy and completeness.
11. Sign and date the surplus lines statement form.
12. Submit the form to the appropriate regulatory authority or insurance company as instructed.

Who needs surplus lines statement form?

1. The surplus lines statement form is typically needed by insurance agents, brokers, or other entities involved in the placement of surplus lines insurance policies.
2. It may also be required by regulatory authorities to ensure compliance with applicable laws and regulations regarding surplus lines insurance.
3. Additionally, insured individuals or businesses may need to provide the surplus lines statement form to demonstrate their coverage under a surplus lines policy.

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What is surplus lines statement form?

The surplus lines statement form is a document used to report transactions involving surplus lines insurance.

Who is required to file surplus lines statement form?

Insurance agencies or intermediaries licensed to sell surplus lines insurance are required to file the surplus lines statement form.

How to fill out surplus lines statement form?

The surplus lines statement form can be filled out manually or electronically, with all required information accurately reported.

What is the purpose of surplus lines statement form?

The purpose of the surplus lines statement form is to provide regulatory authorities with information on surplus lines insurance transactions.

What information must be reported on surplus lines statement form?

Information such as policy details, premium amounts, insured parties, and commissions must be reported on the surplus lines statement form.