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

Surplus Lines Affidavit (Form SL-8) 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. Start by carefully reviewing the instructions provided with the surplus lines affidavit form. Familiarize yourself with the specific information and documentation required to complete the form accurately.
2. Ensure that you have all the necessary details at hand, such as the insured's name, address, and contact information, as well as the policy information including the coverage amount and effective dates.
3. Double-check the form for any specific fields that need to be completed, such as the type of insurance being obtained, the nature of the risk being insured, and any special provisions or endorsements.
4. Pay attention to any required signatures or certifications. Make sure that all appropriate parties sign the form and provide any requested documentation or supporting materials.
5. Review the completed form for accuracy and completeness. Check for any errors or missing information before submitting the affidavit.
6. Submit the surplus lines affidavit form to the appropriate authority or regulatory body. Follow any additional instructions provided for filing, such as payment of fees or inclusion of additional documents.
7. Keep a copy of the completed form for your records.

Who Needs Surplus Lines Affidavit Form:

1. Insurance agents or brokers: Surplus lines affidavits are typically required to be completed by insurance agents or brokers who are involved in the placement of surplus lines insurance coverage. This form serves as a declaration or certification of certain information related to the surplus lines transaction.
2. Surplus lines insurers: Surplus lines insurers may also need surplus lines affidavit forms to document and report their underwriting activities to regulatory bodies. This helps ensure compliance with state laws and regulations governing surplus lines insurance.
3. Regulatory bodies: State insurance departments or other regulatory bodies may request surplus lines affidavit forms to monitor surplus lines activities within their jurisdictions and ensure that adequate protections are in place for policyholders.
4. Policyholders: While policyholders themselves may not typically need to fill out a surplus lines affidavit form, they may still benefit from understanding its purpose and reviewing the information disclosed. This can help ensure that they receive proper coverage and are aware of any unique aspects of the surplus lines insurance policy.

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What is surplus lines affidavit form?

The surplus lines affidavit form is a document that provides proof of compliance with state insurance laws regarding surplus lines coverage.

Who is required to file surplus lines affidavit form?

Insurance agents and brokers who place surplus lines insurance policies are required to file the surplus lines affidavit form.

How to fill out surplus lines affidavit form?

The surplus lines affidavit form can be filled out by providing the necessary information about the insurance policies placed and ensuring compliance with state regulations.

What is the purpose of surplus lines affidavit form?

The purpose of the surplus lines affidavit form is to ensure that surplus lines insurance policies are placed in compliance with state insurance laws and regulations.

What information must be reported on surplus lines affidavit form?

The surplus lines affidavit form typically requires information such as policy details, insured's information, premium amount, and taxes and fees paid.