Loading

Get Form Br 7 Fillable
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Form Br 7 Fillable online
Filling out the Form Br 7 Fillable online is a straightforward process designed to assist users in documenting their insurance procurement efforts. This guide provides clear, step-by-step instructions to ensure that you complete the form accurately and efficiently.
Follow the steps to fill out the Form Br 7 Fillable online
- Click the ‘Get Form’ button to access the fillable version of the Form Br 7. This will open the form in your online editor.
- In the section labeled 'Affidavit by Assured', enter the names of the individuals who are making the affidavit. This will typically be the person(s) directing the insurance procurement.
- Complete the 'date' fields accurately by entering the month, day, and year when the request was made.
- Provide the details of the insurance broker in the designated area, ensuring you include their name and any pertinent contact information.
- Fill in the 'type and amount of insurance' fields with the specific coverage details as instructed by your insurance broker.
- In the acknowledgement section, ensure the signature of the assured is correctly entered, along with their printed name and date.
- The broker must complete their section by filling in the name of the insured, address, location of property, description, coverage details, limits, and premium amounts.
- Verify that the broker's signature and date are entered correctly to confirm that they have explained the terms to the insured.
- If applicable, complete the section for the Affidavit by Special Broker, including their name, location details, and any relevant company information.
- Review the form to ensure all information is accurate and complete, then save your changes. You can download, print, or share the finalized Form Br 7 as needed.
Complete your documents online today for a seamless filing experience.
The Surplus Lines Affidavit serves two main purposes: Confirms the agent and insured are aware that the market with which the coverage was placed is not part of that state's insurance guarantee fund. Provides a record of the collection of surplus lines taxes and state fees.
Fill Form Br 7 Fillable
A formal claim (Proof of Debt) must be filed no later than 4 months from the Administration Date. INSTRUCTIONS FOR FORM BR-7. 1.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.