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STATEMENT OF DILIGENT EFFORT 2026
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- Click ‘Get Form’ to open the STATEMENT OF DILIGENT EFFORT in the editor.
- Begin by entering your name as the Producing Agent and your License Number in the designated fields.
- Fill in the Name of Agency accurately to ensure proper identification.
- In the section for Type of Coverage, specify the coverage you are seeking for the Named Insured.
- List each Authorized Insurer you contacted. For each insurer, provide the Person Contacted, Telephone Number, and Date of Contact.
- Document the reason(s) for declination by each insurer in the provided space to maintain a clear record.
- Finally, sign as the Producing Agent and print or type your name below your signature.
- Indicate whether the document has been verified by a Surplus Lines Agent and include the verification date if applicable.
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diligent effort
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Code Ann. R. 69P-5.003 - Statement of Diligent Effort (Repealed). State Regulations; Compare. Notes.Read more