Sl 8 2026

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The document is a Surplus Lines Statement (Form SL-8) from the State of Connecticut's Insurance Department, detailing the process for obtaining insurance coverage through a surplus lines broker when licensed insurers are unable to provide the necessary coverage. It includes information about the broker, producing agent, insurer details, type of insurance, premium information, and statements from both the insured and the surplus lines broker confirming efforts to secure coverage.

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Click ‘Get Form’ to open the Surplus Lines Statement (Form SL-8) in the editor.
Begin by entering the 'Name and Address of Surplus Lines Broker' in the designated field. Ensure accuracy for effective communication.
Fill in the 'Producing Agent' and 'Agency Represented' sections, including their respective CT License Numbers for verification.
Provide details about the 'Name and Location on Risk', followed by information on 'Surplus Lines Insurer(s)' and their NAIC numbers.
Specify the 'Kind of Insurance', along with limits and a brief description of the risk involved.
Indicate whether this is 'New Business' or a 'Renewal', and provide reasons for placement if applicable.
Complete the premium details, including any service fees, ensuring all checkboxes are appropriately marked.
Finally, both the insured and surplus lines broker must sign where indicated to validate the document.

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Versions	Form popularity	Fillable & printable
2013	4.8 Satisfied (145 Votes)
2012	4.4 Satisfied (433 Votes)

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Sl 8 2026

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