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805 Las Cimas Parkway, Suite 300

805 Las Cimas Parkway, Suite 300 2026

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The document is an Exempt Commercial Purchaser (ECP) Form from the Surplus Lines Stamping Office of Texas, used to declare eligibility for surplus lines insurance. It outlines the requirements for buyers to qualify as ECPs, including premium payments and financial criteria. The form also includes sections for agent disclosures, insured requests for surplus lines placement, and qualifications for a risk manager. It emphasizes the need for compliance with Texas Insurance Code regulations.

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Click ‘Get Form’ to open the Exempt Commercial Purchaser (ECP) form in the editor.
Begin by filling in the 'Policy Number' field at the top of the form. Ensure that this number is accurate as it identifies your insurance policy.
Next, enter the 'Named Insured' and 'Policy Effective Date'. These fields are crucial for identifying who is covered under the policy and when it takes effect.
Indicate whether you meet the 'Exempt Commercial Purchaser' requirements by selecting 'Yes' or 'No'. If applicable, check the relevant criteria that apply to your situation.
Complete the agent/broker information section, including their name and license ID. This ensures proper communication regarding your insurance needs.
In the declaration section, confirm your understanding of disclosures made by your agent and sign where indicated. Make sure to date your signature for accuracy.
Finally, review all entries for accuracy before submitting. Use our platform's features to save or share your completed form easily.

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2018	4.8 Satisfied (35 Votes)

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