Alaska Division of Insurance

State of Alaska

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> Company > Surplus Lines Broker Premium Forms

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Reporting Instructions for Surplus Lines Brokers	Click Here
Monthly Premium Report Summary	08-1238.pdf	08-1238.doc
Multi-State Allocation Form	08-211.pdf	08-211.doc
Statement of Exempt Premiums	08-1238a.pdf	08-1238a.doc
Report of Surplus Lines Transaction	08-1237.pdf	08-1237.doc
Producing Broker's Surplus Lines Affidavit of Due Diligence	08-1236.pdf	08-1236.doc
Quarterly Tax Forms	08-209.pdf	08-209.doc
Annual Premium Tax Report	08-200SL.pdf		08-200SL.xls
Useful Links
Eligible Surplus Lines Insurers
Surplus Lines Placement List
Surplus Lines Amended Monthly Reporting Requirements
Line Codes for Surplus Lines Transaction Reports
Broker Fees and the Appointment of Insurance Producers as Brokers The effective date for the purpose of excluding from taxes the wholesaler fees (providing they are properly disclosed per the bulletin) begins the first quarter 2005.
Regulation Changes Effective July 25, 2008

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