Forms Index

This is a complete list of all the forms available on the Surplus Line Association website. Click on the first link to see an online version of the form you can fill out and submit (scanning and attaching files required).

Alternatively, you may download a PDF version to print out and mail in to SLA.

Note: PDF files require Adobe Acrobat Reader to view them.
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Surplus Lines Association Submission Form

Download (166kb) Right-click and choose 'Save Target As...'
Online Form

 

Utah Premium Memorandum

Download (239kb) Right-click and choose 'Save Target As...'
Online Form

 

Utah Risk Purchasing Group– Surplus Lines Taxes Form

Download (87kb) Right-click and choose 'Save Target As...'

 

Evidence of Good Faith Effort To Place Form

Download (61kb) Right-click and choose 'Save Target As...'

 

Premium Tax Reporting Form for Directly Placed Insurance

Download (111kb) Right-click and choose 'Save Target As...'

 

Affidavit - Surplus Lines Placement of Insurance Download (76kb) Right-click and choose 'Save Target As...'