Ala. Admin. Code r. 482-1-036-.04 - Forms

The following forms are designed for use in connection with the Surplus Line Insurance Law. Copies of all forms are on the department's Web page at http://www.aldoi.gov. The right to amend, rescind, or add to these forms is reserved without amending this rule.

Form Number Title Reference to Code
AL-SLB-1 Application for License as Surplus Line Broker 27-10-24(a)(1)
ID 12 - (online filing) Certificate of Surplus Line Broker 27-10-21
AL-SLB-13 Bond Form 27-10-24(a)(3)
ID 14 Purchasing Group Independently Procured Business 27-10-35(a)
ID 14.1 Independently Procured Business 27-10-35(a)
ID 15 Annual Statement / Tax Return 27-10-30

Notes

Ala. Admin. Code r. 482-1-036-.04
New Rule: September 23, 19 63. Revised: February 28, 1977; effective March 10, 1977. Revised: April 17, 1989; effective April 28, 1989. Amended: August 12, 2008; effective August 22, 2008. Filed with LRS August 13, 2008. Rule is not subject to the Alabama Administrative Procedure Act.

Author: Commissioner of Insurance

Statutory Authority: Code of Ala. 1975, ยงยง 27-2-17, 27-10-1, et seq.

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