69O-136.004. Surplus Lines  


Effective on Sunday, January 7, 2024
  • 1Applications submitted as an insurer under Florida’s Surplus Lines Law, pursuant to section 14626.913, 15Florida Statutes, shall contain all of the following forms.

    24(1) Applicants shall comply with the directions on, or otherwise submit, the following applicable forms:

    39(a) Form OIR-C1-916, incorporated by reference in Rule 69O-136.100, F.A.C.;

    49(b) Form OIR-C1-144, incorporated by reference in Rule 69O-136.100, F.A.C.;

    59(c) Form OIR-C1-905, incorporated by reference in Rule 69O-136.100, F.A.C.;

    69(d) Form OIR-C1-938, incorporated by reference in Rule 69O-136.100, F.A.C.;

    79(e)Form OIR-C1-1416, incorporated by reference in Rule 69O-136.100, F.A.C.;

    88(f) Form OIR-C1-1423, incorporated by reference in Rule 69O-136.100, F.A.C.;

    98(g) Form OIR-C1-0500, incorporated by reference in Rule 69O-136.100, F.A.C.;

    108(h) Form OIR-C1-0501, incorporated by reference in Rule 69O-136.100, F.A.C.;

    118(i) Form OIR-C1-0502, incorporated by reference in Rule 69O-136.100, F.A.C.;

    128(j) Form OIR-C1-0503, incorporated by reference in Rule 69O-136.100, F.A.C.;

    138(k) Form OIR-C1-0504, incorporated by reference in Rule 69O-136.100, F.A.C.;

    148(l) Form OIR-C1-0505, incorporated by reference in Rule 69O-136.100, F.A.C.;

    158(m) Form OIR-C1-0506, incorporated by reference in Rule 69O-136.100, F.A.C.;

    168(n) Form OIR-C1-0507, incorporated by reference in Rule 69O-136.100, F.A.C.;

    178(o) Form OIR-C1-0509, incorporated by reference in Rule 69O-136.100, F.A.C.; and

    189(p) Form OIR-C1-2221, incorporated by reference in Rule 69O-136.100, F.A.C.

    199(2)  All the forms listed in subsection (1) may be obtained from the Office’s website at http://www.floir.com and shall be submitted electronically via the Office’s iApply system at https://www.floir.com/iportal.

    228Rulemaking 229Authority 230624.308 FS. 232Law Implemented 234624.307(1), 235624.34, 236624.422, 237624.501, 238626.913, 239626.918 FS. 241History–New 2-26-92, Amended 9-19-00, 11-18-02, Formerly 4-136.004, Amended 1-7-24.