WebCT License No. 3. Agency Represented 4. Ct. gov/cid. You will find surplus lines insurers among the List of Licensed Companies Approved Reinsurers and Surplus Lines Insurers. Affidavit Control No* Surplus Lines Affidavit Form SL-8 State of Connecticut Insurance Department Rev* 09/2012 1. Name and Location on Risk 5a* Surplus Lines Insurer s and ... WebQuickly generate a Surplus Lines Statement (Form SL-8) State Of Connecticut Insurance Department (Rev without needing to involve experts. There are already more than 3 million people making the most of our rich catalogue of legal documents. Join us right now and gain access to the top collection of web templates.

Surplus Lines Affidavit - Insurance Programs of America …

http://www.ipoausa.com/wp-content/uploads/2013/08/CT-Affidavit-Form.pdf WebFORM SL-8 (Rev. 04/04) 1. Name and Address of Surplus Lines Broker 2. Producing Agent (not agency) CT Lic. No. 3. Name/Location of Risk 4. Does the undersigned broker have on file evidence of declination by three licensed insurers and ineligibility for any residual market mechanism per 38a-741 C.G.S.? include salary expectations in cover letter

Get Connecticut Surplus Lines Affidavit Form 2024-2024 - US …

WebSurplus Lines Statement (Form SL-8) I/We, the named insured, state that on _____, I/We directed the licensed producing agent named on . this Surplus Lines Statement to obtain insurance coverage described herein; that I/We were informed by said producing agent that ... CGHO Surplus Lines CT Disclosure Statement EN 01/2024. Created Date ... WebForm SL-2 (on CT DOI website). Eligibility and Filing Requirements (Foreign Insurers Only):s. Capital and Surplus: $15,000,000. Letter of … WebFORM SL-8 (Rev. 04/04) 1. Name and Address of Surplus Lines Broker 2. Producing … inc. bellwood