Get Statement Of Diligent Effort

Completing the Statement of Diligent Effort is an essential step for producing agents when seeking insurance coverage. This guide provides clear, step-by-step instructions to ensure that users can confidently fill out the form online.

Follow the steps to accurately complete the form.

1. Press the ‘Get Form’ button to access the Statement of Diligent Effort and open it in your chosen editor.
2. In the first section, fill in your name as the producing agent and include your license number.
3. Next, enter the name of your agency in the appropriate field.
4. Specify the type of coverage you have sought to obtain along with the name of the insured person.
5. List the authorized insurers you contacted in the fields provided. For each insurer, include the person's name you spoke with, their telephone number, and the date of contact.
6. Document the reasons for declination provided by each insurer in the designated space under each contact entry.
7. Finally, sign the form as the producing agent and print or type your name below the signature.
8. Indicate whether the form has been verified by a surplus lines agent, marking ‘Yes’ or ‘No’ and entering the verification date.

Complete your documents online to ensure proper processing.