FSLSO :: Publications :: Forms

Florida Surplus Lines Service Office - www.fslso.com

Forms

Quarterly Report Affidavit
Note: Surplus Lines Agents may file quarterly affidavit information via the Surplus Lines Information Portal in lieu of mailing a notarized paper form.
Diligent Effort Form
Power of Attorney
Catastrophe Information Form
Sample Stamp
Sample Face Page
- FLDFS Tax Refund Request Form
- Citizens Assessment Refund Request Form
- EMPA Assessment Refund Request Form
- FHCF Refund Request Form

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Independently Procured Coverage - per Florida Statute 626.938, all Florida IPC Information must be filed via the FSLSO IPC web portal.