The Surplus Line Association of Utah
6711 South 1300 East
Salt Lake City, UT 84106
Phone 801-467-8421 or Fax 801-467-7673
Persons seeking insurance may obtain the
insurance from an unauthorized insurer if no agent or broker
resident doing business in Utah is involved and if negotiations
occur primarily outside Utah. (Such negotiations do not include
insurance-related solicitations or negotiations by mail, telephone,
Utah law requires that premium tax be paid
for insurance written on all risks located in Utah. A stamping
fee (processing fee) is also due. The insured and/or policyholder
is responsible for paying this tax within 60 days after the
insurance is procured or renewed.
Please use the following link to download
the Premium Tax Reporting Form for Directly Placed Insurance
form, which you will then need to print out and mail in with
your payment. Thank you.
Download the Premium Tax Reporting Form for Directly Placed Insurance
(111kb) Right-click and choose 'Save Target As...'
*NOTE: A check for
the tax and fee must be sent to the Surplus Line Association
of Utah to accompany this form.