Get Form Br 7 Fillable

Filling out the Form Br 7 Fillable is an essential process for obtaining insurance through non-admitted insurers in Massachusetts. This guide will provide clear, step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to complete the Form Br 7 Fillable online.

1. Press the ‘Get Form’ button to access the form and open it in your digital editor.
2. Begin by filling in the affidavit number in the designated space on the top section of the form.
3. Next, enter the name(s) of the assured individuals and their city in Massachusetts in the respective fields.
4. In the section stating 'I/We', provide the full name(s) of the assured individuals, followed by the insurance broker's name.
5. Indicate the date of the directive to obtain insurance using the DD/MM/YYYY format.
6. Provide the name of the broker who was instructed to obtain the insurance in the specified area.
7. Read and understand the statements regarding the surplus lines insurer and complete the corresponding sections as indicated.
8. Have the assured individuals sign and print their names in the appropriate fields, and enter the date of signing.
9. The designated broker must complete their section, including the name of the insured, address, location of the property, description, coverage details, limit, and premium information.
10. Ensure that the broker provides their signature, print name, and date to confirm their explanations have been acknowledged.
11. If applicable, fill out the special broker affidavit with relevant details of the procurement efforts and submit it.
12. After thoroughly reviewing the completed form for accuracy, save your changes. You can then download, print, or share the form as needed.

Complete your Form Br 7 Fillable online today to ensure your insurance needs are met efficiently.