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| Surplus Lines Association Submission Form |
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(166kb) Right-click and choose 'Save Target As...'
Online Form
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| Utah Premium Memorandum |
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(239kb) Right-click and choose 'Save Target As...'
Online Form
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| Utah Risk Purchasing Group– Surplus Lines Taxes
Form |
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(87kb) Right-click and choose 'Save Target As...'
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| Evidence of Good Faith Effort To Place Form |
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(61kb) Right-click and choose 'Save Target As...'
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| Premium Tax Reporting Form for Directly Placed Insurance |
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(111kb) Right-click and choose 'Save Target As...'
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| Affidavit - Surplus Lines Placement of Insurance |
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(76kb) Right-click and choose 'Save Target As...' |