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Get Surplus Lines Disclosure Form

SURPLUS LINES DISCLOSURE and ACKNOWLEDGEMENT At my direction, Equisure Inc has placed my coverage in the surplus lines market. As required by Florida Statute 626.916, I have agreed to this placement.

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Keywords relevant to Surplus Lines Disclosure Form

  • insurers
  • insolvent
  • guaranty
  • underwriters
  • unlicensed
  • Acknowledgement
  • premiums
  • disclosure
  • Statute
  • placement
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