Diligent effort form 2025

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  1. Click ‘Get Form’ to open the diligent effort form in the editor.
  2. Begin by entering your License # at the top of the form. This is essential for identification purposes.
  3. Fill in the Producing Agent's name and the Name of Agency. Ensure accuracy as this information is crucial for processing.
  4. Specify the Type of Coverage you are seeking, followed by the Named Insured's details.
  5. List authorized insurers that you have contacted for coverage. For each insurer, provide their name, contact person, telephone number, and date of contact.
  6. Document the reasons for declination from each insurer in the designated sections to maintain a clear record.
  7. Finally, sign as the Producing Agent and ensure that a Surplus Lines Agent verifies the document by filling in their details and verification date.

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2006 4 Satisfied (51 Votes)
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How to fill out the Statement of Diligent Effort for Insurance Coverage? Enter your name, license number, and agency information. List at least three authorized insurers that were contacted. Provide contact details and the date of contact for each insurer. Document the reasons for declination for each insurer.
Diligencecarefulness and persistent effort or workis listed as one of the seven capital virtues. It can be indicative of a work ethic, the belief that work is good in itself.
Definition. A diligent search means making a serious effort to find the other party named in your case. This means that you have followed up on any information you have received about where they are and you cannot find any more information.
Diligent effort means seeking coverage from and having been rejected by at least three authorized insurers currently writing this type of coverage and documenting these rejections.
It can be defined as the steady, earnest and persistent application of work to achieve a goal and is also a mindset to do things properly. n this way, diligence may rather be regarded as a combination of both hard work and patience because being persistent requires patience.