This version of the form is not currently in use and is provided for reference only. Download this version of Form 1265 B for the current year.
This is a legal form that was released by the Louisiana Department of Insurance - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is form 1265 B?
A: Form 1265 B is the Surplus Line Producer's Quarterly Tax Statement for self-procurement in Louisiana.
Q: Who needs to file form 1265 B?
A: Surplus Line Producers who engage in self-procurement in Louisiana need to file form 1265 B.
Q: What is self-procurement?
A: Self-procurement refers to the act of a Surplus Line Producer directly placing insurance coverage with a non-admitted insurer.
Q: What information is required on form 1265 B?
A: Form 1265 B requires information such as the Surplus Line Producer's name, address, tax identification number, and details of self-procured insurance transactions.
Q: How often do Surplus Line Producers need to file form 1265 B?
A: Surplus Line Producers need to file form 1265 B on a quarterly basis.
Form Details:
Download a fillable version of Form 1265 B by clicking the link below or browse more documents and templates provided by the Louisiana Department of Insurance.