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

Surplus Lines Affidavit (Form SL8)State of Connecticut Insurance Department (Rev. 06/2012)1. Name and Address of Surplus Lines Broker: CONNECTICUT UNDERWRITERS, INC. 421 WADSWORTH STREET, MIDDLETOWN,

How to fill out surplus lines affidavit form

How to fill out surplus lines affidavit form

1. Obtain the surplus lines affidavit form from the appropriate authority or website.
2. Read the instructions carefully to understand the required information.
3. Fill out your personal details like name, address, and contact information.
4. Specify the insurance business involved, providing the name of the insurer and any relevant policy information.
5. Indicate the purpose of the affidavit and the reason for using surplus lines coverage.
6. Provide any supporting documentation required, such as evidence of attempts to obtain insurance from admitted companies.
7. Sign and date the form, ensuring all required fields are completed accurately.
8. Submit the completed surplus lines affidavit form to the appropriate authority, along with any accompanying documents.
9. Keep a copy of the filled-out form for your records.

Who needs surplus lines affidavit form?

1. Insurance brokers and agents typically need the surplus lines affidavit form when they are placing coverage through a non-admitted or surplus lines insurer.
2. Individuals or businesses looking for specialized or hard-to-place insurance coverage may also need to fill out this form.

For pdfFiller’s FAQs

How do I modify my surplus lines affidavit form in Gmail?

Using pdfFiller's Gmail add-on, you can edit, fill out, and sign your surplus lines affidavit form and other papers directly in your email. You may get it through Google Workspace Marketplace. Make better use of your time by handling your papers and eSignatures.

How can I modify surplus lines affidavit form without leaving Google Drive?

pdfFiller and Google Docs can be used together to make your documents easier to work with and to make fillable forms right in your Google Drive. The integration will let you make, change, and sign documents, like surplus lines affidavit form, without leaving Google Drive. Add pdfFiller's features to Google Drive, and you'll be able to do more with your paperwork on any internet-connected device.

How do I edit surplus lines affidavit form on an Android device?

You can make any changes to PDF files, such as surplus lines affidavit form, with the help of the pdfFiller mobile app for Android. Edit, sign, and send documents right from your mobile device. Install the app and streamline your document management wherever you are.

What is surplus lines affidavit form?

A surplus lines affidavit form is a document used to report and verify the placement of insurance policies with non-admitted insurers, which are insurance companies not licensed in the state where the coverage is provided.

Who is required to file surplus lines affidavit form?

Insurance agents or brokers who place coverage with surplus lines insurers on behalf of their clients are required to file the surplus lines affidavit form.

How to fill out surplus lines affidavit form?

To fill out a surplus lines affidavit form, the filer should provide details such as client information, policy information, insurer details, premium amounts, and any evidence supporting the surplus lines placement.

What is the purpose of surplus lines affidavit form?

The purpose of the surplus lines affidavit form is to ensure compliance with state regulations regarding surplus lines insurance and to provide a record of transactions involving non-admitted carriers.

What information must be reported on surplus lines affidavit form?

Required information includes the insured's name and address, policy number, coverage details, insurer information, and the total premium charged for the insurance.