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OMB No. 11210292: Approval Expires 4/30/2018 U.S. DEPARTMENT OF JUSTICESSV5FORM (5112017)BUREAU OF JUSTICE STATISTICSSURVEY OF SEXUAL VICTIMIZATION, 2016 State Juvenile Systems Summary Normand ACTING
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How to fill out online surplus lines statement

01
Access the website of the surplus lines insurance company or the state's surplus lines association.
02
Navigate to the online surplus lines statement portal.
03
Provide the necessary login credentials, such as username and password.
04
If you don't have an account, create one by following the registration process.
05
Once logged in, locate the option to fill out an online surplus lines statement.
06
Begin filling out the statement by entering the required information, which may include policy details, insured information, and declaration of surplus lines premium.
07
Carefully review the entered information to ensure accuracy and completeness.
08
Submit the online surplus lines statement once all the necessary data has been entered.
09
If any errors or omissions are encountered, make the necessary corrections and resubmit the statement.
10
After submission, you may receive a confirmation or acknowledgement of the statement.
11
Keep a record of the submitted online surplus lines statement for future reference or compliance purposes.

Who needs online surplus lines statement?

01
Insurance agents or brokers who are involved in the placement of surplus lines insurance policies typically need to fill out online surplus lines statements.
02
Surplus lines producers, insurance companies, and the state's insurance regulatory authorities may also require online surplus lines statements for record-keeping, compliance, and monitoring purposes.
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Online surplus lines statement is a form filed by insurance companies to report surplus lines transactions that are not placed through licensed insurers.
Insurance companies licensed to write surplus lines business are required to file online surplus lines statement.
Online surplus lines statement can be filled out electronically through the designated reporting system provided by the regulatory authority.
The purpose of online surplus lines statement is to ensure compliance with surplus lines insurance regulations and track surplus lines transactions.
Information such as policy number, insured's name, premium amount, and coverage details must be reported on online surplus lines statement.
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