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DATE RECEIVED STATE OF MAINE Bureau of Insurance APPLICATION FOR SURPLUS LINES AUTHORITY Payment must be submitted with all applications. Resident $165 ($150 license fee & $15 application fee) Nonresident
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How to fill out application for surplus lines

How to fill out application for surplus lines:
01
Gather all necessary information and documents such as the insured's name, address, and contact details, along with information about the risk to be insured.
02
Fill in the application form accurately, providing all requested details about the insured, the risk, and any previous claims.
03
Ensure that all required supporting documents, such as loss histories or underwriting reports, are attached to the application.
04
Review the application for any errors or missing information before submitting it to the surplus lines insurance broker or carrier.
05
Keep a copy of the completed application for your records.
Who needs application for surplus lines:
01
Individuals or businesses seeking insurance coverage for risks that are difficult to insure through traditional insurance markets may need to submit an application for surplus lines.
02
Surplus lines insurance is generally procured for unique, high-risk, or hard-to-place risks that do not meet the requirements of admitted insurers.
03
Entities or individuals who operate in industries with unique risks, such as construction, aviation, or energy, may require surplus lines insurance and thus need to complete an application.
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What is application for surplus lines?
The application for surplus lines is a form used to apply for coverage from non-admitted insurance companies when coverage cannot be obtained from admitted insurers.
Who is required to file application for surplus lines?
Insurance brokers and agents are typically required to file the application for surplus lines on behalf of the insured.
How to fill out application for surplus lines?
The application for surplus lines can be filled out by providing information about the insured, the desired coverage, and any relevant details about the risk being insured.
What is the purpose of application for surplus lines?
The purpose of the application for surplus lines is to facilitate the placement of coverage with non-admitted insurers and to ensure that proper documentation and information is provided.
What information must be reported on application for surplus lines?
The application for surplus lines typically requires information about the insured's business or personal risk, desired coverage limits, claims history, and any other relevant details.
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