Get De Sl-1923 (formerly Sl-1904) 2015-2025

The DE SL-1923 form, previously known as the SL-1904, is an essential document for surplus lines insurance. This guide will help you navigate the online filling process, ensuring that you successfully complete each section of the form with clarity and confidence.

Follow the steps to fill out the form accurately and efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
2. In the 'Submitted by' section, select the appropriate option that corresponds to the entity or individual who is submitting the form.
3. Provide the policy number in the designated field, ensuring it accurately represents the associated insurance coverage.
4. Enter the surplus lines insurer's name in the relevant field for identification purposes.
5. Fill in the insured's name and mailing address, making sure to include the necessary details for effective communication.
6. Indicate the policy term information, including the effective date and expiration date, formatted in MM/DD/YYYY.
7. Specify the amount of insurance for both property and casualty, entering the respective values as applicable.
8. Describe the coverage in the designated section, providing a clear account of what the insurance entails.
9. Detail the location of risk to accurately indicate where the insurance coverage applies.
10. Complete the diligent effort declaration, confirming the attempts made to procure licensed insurance coverage and noting any declined insurers.
11. Provide the names and NAIC numbers of the licensed insurers who declined, along with a brief reason for each decline.
12. Attest to providing thorough explanations to the insured regarding the nature of coverage being placed with an unauthorized insurer.
13. Sign and date the form as the filing agent or surplus lines broker, ensuring that all information provided is true and accurate.
14. Once completed, save changes, download the form, print it for your records, or share it as needed.

Complete your DE SL-1923 form online now to ensure your insurance process is managed efficiently.