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The forms listed below can be printed and mailed to the Surplus Line Association of California. You will need Adobe Acrobat Reader to open and print these documents. It is a free download if you do not have it installed. Click here to download Acrobat Reader.

Digital signatures authorized by a digital signature certification authority are acceptable. As noted on the California Secretary of State’s website, a digital signature is defined as “an electronic identifier, created by computer, intended by the party using it to have the same force and effect as the use of a manual signature.”

Digital signatures must be:

  1. Specific to the person using it.
  2. Verifiable.
  3. Under the exclusive control of the person using it.
  4. Linked to data so that if information on a signed form are changed, the digital signature becomes invalid.
  5. Conforms to all other regulations adopted by the Secretary of State, as found on their website: https://www.sos.ca.gov/business-programs/business-entities/faqs/#top.

SL-1

A completed Confidential Report of Placement (SL-1 form) is required for all new business, renewal or extension endorsement extending the policy period past 90 days in the aggregate in a 12-month period.

SL-2

A completed Diligent Search Report (SL-2 form) is required for all new business, renewal or extension endorsement extending the policy period past 90 days in the aggregate in a 12-month period. The two exceptions for performing a diligent search are if the coverage is on the current Export List or if the insured qualifies as the NRRA definition of an exempt commercial purchaser/commercial insured.

GAP

Insurance may be placed with insurers not eligible pursuant to CIC section 1765.1 if certain conditions are met. Please refer to California Insurance Code Section 1765.1(f)(1).

D-1

The disclosure statement must be signed by the applicant at the time the producer accepts an application for any insurance policy issued by a surplus lines insurer, other than a renewal of that policy. Please refer to California Insurance Code Section 1764.1(a)(1).

D-2

Every policy and certificate evidencing the placement of insurance issued by a surplus lines insurer must contain, or have affixed on the front by the insurer or surplus line broker, this disclosure statement in 16-point bold type.

Tax Forms - SLA's Tax Information and CDI Tax Forms

Select the link below to go to the SLA's tax filing assistance page containing information for filing annual Surplus Lines taxes in California, as well as the link to the CDI's Tax Information and forms website.