Get Fl Surplus Lines Service Office Statement Of Diligent Effort 2017-2025

The FL Surplus Lines Service Office Statement Of Diligent Effort is a vital document that helps demonstrate your attempts to obtain coverage from authorized insurers. This guide will walk you through each step of filling out the form online, ensuring you understand the required components and how to complete them accurately.

Follow the steps to complete the form efficiently.

1. Press the ‘Get Form’ button to acquire the document and open it in your preferred editor.
2. Begin by filling in your name as the retail or producing agent in the designated field.
3. Enter your license number in the corresponding section to verify your credentials.
4. Include the name of your agency in the provided space to identify your professional affiliation.
5. Specify the type of coverage you are seeking clearly in the appropriate field.
6. Provide the name of the insured person or entity who is applying for the coverage in the next section.
7. Start documenting your outreach to authorized insurers. For the first insurer, enter their name, the person you contacted, or note if you received an online declination.
8. Fill in the contact information, including telephone number and email address for the first insurer.
9. Record the date of your contact with the first insurer.
10. State the reason(s) for the declination from the insurer in the provided space. Remember to attach any electronic declinations if applicable.
11. Repeat steps 7 to 10 for the second authorized insurer and then for the third, ensuring you document all necessary information for each.
12. Finally, sign the form as the retail or producing agent and date it to confirm the information is complete and accurate.
13. After completing the form, you can save your changes, download a copy, print it out, or share it as needed.

Complete your documents online today to ensure swift processing.