Quarterly Affidavit

FSLSO provides this downloadable quarterly affidavit as a sample for surplus lines agents. Per F.S. 626.931, each surplus lines agent shall on or before the 45th day following each calendar quarter file with the FSLSO an affidavit, on forms as prescribed and furnished by the FSLSO stating that all surplus lines business transacted by him or her during such calendar quarter has been submitted to the FSLSO as required.

The quarterly affidavit can also be submitted electronically via SLIP.