|UTAH RISK PURCHASING GROUP –
The Surplus Line Association of Utah
6711 South 1300 East
Salt Lake City, UT 84106
Phone 801-467-8421 or Fax 801-467-7673
The following statement of premium, written
by non-admitted insurers is hereby offered for filing, pursuant
to the provisions of the Utah Insurance Code and applicable
rules of the Utah Insurance Department.
Please use the following link to download
the Utah risk purchasing group - surplus lines taxes form,
which you will then need to print out and mail in with your
payment. Thank you.
Download the Utah risk purchasing group - surplus lines taxes form
(87kb) 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.