69O-136.004. Surplus Lines

Applications submitted as an insurer under Florida’s Surplus Lines Law, pursuant to section 626.913, Florida Statutes, shall contain all of the following forms. (1) Applicants shall comply with the directions on, or otherwise submit, the following applicable forms: (a) Form OIR-C1-916, “Application for Eligibility as a Surplus Lines Insurer,” incorporated by reference in Rule 69O-136.100, F.A.C.; (b) Form OIR-C1-144, “Service of Process Consent & Agreement,” incorporated by reference in Rule 69O-136.100, F.A.C.; (c) Form OIR-C1-1416, “Uniform Certificate of Authority Application (UCAA) Lines of Insurance,” incorporated by reference in Rule 69O-136.100, F.A.C.; (d) The biographical information package as defined in subsection 69O-136.100(3), F.A.C.; and (e) Form OIR-C1-2221, “Management Information Form,” incorporated by reference in Rule 69O-136.100, F.A.C. (2) All the forms listed in subsection (1) may be obtained from the Office’s website at floir.gov and shall be submitted electronically via the Office’s iApply system at floir.gov/iportal