Get Surplus Lines Statement Sl-8 Form And Instruction - Braishfield

Completing the Surplus Lines Statement SL-8 Form is an essential task for brokers and agents seeking to place insurance through surplus lines in Connecticut. This guide will provide you with clear, step-by-step instructions on how to accurately fill out this important document online.

Follow the steps to fill out the Surplus Lines Statement SL-8 Form effectively.

1. Click ‘Get Form’ button to access the Surplus Lines Statement SL-8 Form and open it in an online editing tool.
2. Enter the name and address of the surplus lines broker in the designated field.
3. Provide the producing agent's name, along with their Connecticut license number in the relevant fields.
4. Indicate the agency represented, including its Connecticut license number.
5. Fill in the name and location of the risk in section four.
6. List the surplus lines insurer(s) and their NAIC number(s) in the respective fields.
7. Specify the kind of insurance, followed by the limits in section 6a, and a detailed risk description in section 6b.
8. Indicate whether this is new business or a renewal under section 7, and provide the reason for placement in section 7b.
9. Fill out the premium amount in section 8 and specify if it is a term premium, along with the policy period. Be sure to include effective and expiration dates.
10. Answer question nine by selecting yes, no, or exportable list, and provide the amounts for broker and producer service fees in sections 9a and 9b.
11. Sign the form in the statement section provided for the insured, confirming that they directed the agent for insurance coverage.
12. Finalizing the process, sign in the broker's section and ensure the control number is assigned. Users can then save, download, print, or share the completed form.

Complete your Surplus Lines Statement SL-8 Form online today for efficient processing.