Get Ct Sl-8 Bformb Rev 07-b2013b - Ucpm

This guide provides a detailed overview of filling out the CT SL-8 BFormb Rev 07-b2013b - UCPM form online. By following these instructions, users can efficiently complete the required sections and ensure accuracy in their submissions.

Follow the steps to complete the form effectively.

1. Click the ‘Get Form’ button to retrieve the CT SL-8 BFormb Rev 07-b2013b - UCPM and open it in the online editor.
2. Fill in the name and address of the surplus lines broker in the first section. Ensure that all information is accurate and reflects the broker's details.
3. In the second section, provide the name of the producing agent and their CT license number. This identifies the individual responsible for placing the insurance.
4. Complete the third section by entering the agency represented along with its CT license number.
5. In the fourth section, indicate the name and location of the risk. This helps clarify the insurance coverage needed.
6. Identify the surplus lines insurer(s) by entering their names and NAIC numbers in the fifth section. Use the White List available through the relevant Connecticut resources to find this information.
7. Specify the kind of insurance in section six. Include the limits of coverage in 6a and a detailed risk description in 6b.
8. In section seven, select whether this is new business or a renewal and provide the reason for placement in 7b.
9. Indicate the premium amount in section eight and the type of payment. Specify the policy period with exact effective and expiration dates in 8b.
10. Answer question nine regarding evidence of declination from three licensed insurers with 'Yes,' 'No,' or 'Exportable List.' Fill out the service fee amounts in boxes 9a and 9b.
11. Assign a control number to your submission, following the specified format to ensure proper tracking.
12. Lastly, obtain the necessary signatures. Both the insured and the surplus lines broker must sign the document before it is submitted.
13. Once all sections are completed, you can save your changes, download, print, or share the form as needed.

Complete your CT SL-8 BFormb Rev 07-b2013b - UCPM online today for a streamlined filing process.