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Surplus Lines State Affidavits
AK
Affidavit of Due Diligence AK
AL
DIligent Effort AL
AR
SL-3 - Disclosure to Surplus Line Insured AR
AZ
No Affidavit Required
CA
D-1 Disclosure Statement CA
Diligent Search Report CA
CO
Dilligent Effort CO
CT
Surplus Lines Affidavit CT
DC
DE
Statement of Diligent Effort DE
FL
Diligent Effort FL
GA
About your surplus lines policy brochure (no signature required) GA
HI
IA
ID
Affidavit of Diligent Search ID
IL
IN
Diligent Effort -IN
KS
KY
Affidavit for Surplus Lines Insurance Transactions KY
LA
MA
BR-7 Affidavit by Assured MA
MD
ME
MI
MN
MO
MS
Affidavit for Surplus Lines Authority MS
MT
Surplus Lines Disclosure Statement MT
Diligent Search Surplus Lines 1/2% Form MT
NC
Form-F Surplus Lines NC
ND
Surplus Lines Affidavit ND
NE
NH
NJ
SLPS-6 Surplus Lines Affidavit NJ
NM
Producing Broker Affidavit NM
NV
NY
Producing Agent Affidavit part C- NY
OH
Surplus Lines Affidavit of Originating Agent-OH
OK
SL-3cSurplus Lines Insurance Broker Form-OK
OR
Diligent Search Report-OR
PA
Declaration by Producer-PA
RI
Rhode Island Affidavit by Broker RI
SC
SD
TN
Surplus Lines Affidavit - TN
TX
UT
Good_faith_form UT
VT
VA
Virginia Form SLB-9
WA
WI
WV
Due Diligence Form-WV
WY
TBD
