Get Connecticut Surplus Lines Affidavit Form 2018-2025

This guide provides a step-by-step approach to filling out the Connecticut Surplus Lines Affidavit Form online. It aims to support users by simplifying the process while ensuring all necessary details are captured accurately.

Follow the steps to complete your affidavit form with ease.

1. Press the ‘Get Form’ button to obtain the Connecticut Surplus Lines Affidavit Form and open it in the designated editor.
2. Begin by entering the contact information of your insurance company. Ensure that the address is complete and accurate, including the area code and telephone number.
3. Provide the corporate documents such as articles of incorporation and bylaws. Ensure these documents are durable and clearly printed.
4. Next, include a certificate of compliance from the supervising public official in your domiciliary jurisdiction, confirming your company’s authorization to transact insurance in Connecticut.
5. Complete the detailed narrative of your company’s operations plan for both state and national activities.
6. Include ownership details. List out all shareholders holding 5% or more of shares along with their relationship to the company.
7. Attach audit reports for the previous two fiscal years, certified by your independent public accounting firm, if applicable.
8. Ensure that all questions on the form are answered. If necessary, provide additional information or explanations as attachments.
9. After completing the form, review all entries for accuracy and completeness.
10. Finally, save your changes and download the form. You may also print it out for your records or share it as required.

Get started with your online documentation process today and complete your Connecticut Surplus Lines Affidavit Form efficiently.