Form INS4024 Surplus Lines Statement - Ohio

Form INS4024 Surplus Lines Statement - Ohio

What Is Form INS4024?

This is a legal form that was released by the Ohio Department of Insurance - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is INS4024 Surplus Lines Statement?
A: INS4024 Surplus Lines Statement is a form used in Ohio to report excess and surplus lines insurance transactions.

Q: Who needs to file INS4024 Surplus Lines Statement?
A: Insurance agencies licensed to conduct excess and surplus lines business in Ohio need to file the INS4024 Surplus Lines Statement.

Q: What information should be included in INS4024 Surplus Lines Statement?
A: INS4024 Surplus Lines Statement should include information about the insured, coverage details, policy premium, and surplus lines broker information.

Q: When should INS4024 Surplus Lines Statement be filed?
A: INS4024 Surplus Lines Statement should be filed within 90 days after the end of the quarter in which the transaction occurred.

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Form Details:

  • Released on February 1, 2021;
  • The latest edition provided by the Ohio Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form INS4024 by clicking the link below or browse more documents and templates provided by the Ohio Department of Insurance.

Download Form INS4024 Surplus Lines Statement - Ohio

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  • Form INS4024 Surplus Lines Statement - Ohio, Page 1
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