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Issioner TEL (609) 292-5350 FAX (609) 292-6765 January 1, 2013 FROM: Surplus Lines Examining Office TO: All New Jersey Licensed Producers (Agents) with Surplus Lines Authority RE: 2012 New Jersey Surplus Lines Placements Premiums Written Information Pursuant to N.J.S.A. 17:22-6.57 please submit, on or before March 1, 2013, the following information: 1. A listing of all Eligible Surplus Lines Insurers and premiums written from which New Jersey Surplus Lines coverage was procured durin.

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How to fill out the Zooxnxxcom online

Filling out the Zooxnxxcom form online can be a straightforward process when broken down into manageable steps. This guide aims to assist users in completing the form efficiently and accurately, ensuring all required information is provided.

Follow the steps to complete the Zooxnxxcom online form.

  1. Click ‘Get Form’ button to access the form and open it in the designated editor.
  2. Begin by entering your details as the surplus lines producer (agent). Provide your SLA number, avoiding your license number.
  3. List the eligible surplus lines insurers in the specified section, including their NAIC or ISI numbers and the premiums written during the year.
  4. If no business has been placed during the calendar year, mark the appropriate checkbox to indicate this status.
  5. Certify that all binding authority agreements for the eligible surplus lines insurers have been electronically filed. This is necessary for compliance with state law.
  6. Sign the form where indicated, providing your name, contact number, and email address for follow-up communications.
  7. Review the completed form to ensure accuracy and completeness before submission.
  8. Save your changes, and determine whether to download, print, or share the form according to your needs.

Complete your documents online to ensure timely submission and compliance.

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