Get Producing Agent (retail Producer Or Surplus Lines Broker) Diligent Effort Affidavit

Navigating digital documents can be straightforward with the right guidance. This guide will walk you through the process of filling out the Producing Agent Diligent Effort Affidavit online, ensuring you understand each component and requirement.

Follow the steps to complete the affidavit accurately.

1. Click ‘Get Form’ button to access the affidavit and open it in the online editor.
2. In the first section, enter the name of the Producing Agent (Retail Producer or Surplus Lines Broker) in the designated field.
3. Provide the current Colorado Producer License Number in the appropriate section to validate your credentials.
4. Indicate the name of your agency by filling in the corresponding field.
5. Specify the type of coverage and description of the risk for which you are seeking insurance by providing clear details in the designated area.
6. Identify the Named Insured by entering their name in the provided field. Indicate whether this is a new or renewal policy by selecting the appropriate option.
7. List at least three admitted insurers currently transacting this line of business in the state in the fields provided. Ensure that each insurer's name is clearly noted.
8. Finalize the form by signing where indicated, ensuring that your printed or typed name appears clearly beneath your signature.
9. Enter the date of completion in the corresponding space provided.
10. Review the completed affidavit to ensure all sections are filled out correctly. Once verified, you can save your changes, download, print, or share the affidavit as required.

Start completing your documents online today for efficient and accurate filing.