Nebraska Department of Insurance
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SEARCH SITE FOR:
SURPLUS LINES FORMS
Send all Surplus Lines correspondence to:
NE Department of Insurance
941 O Street, Suite 400
Lincoln, NE 68508
Individual
Corporate (Agency), Purchasing Group, Industrial Insured
Tax Rates and Requirements to Effect Insurance
in Non-Admitted Companies
Application for an
Individual (Agent) Surplus Lines License
Quarterly Report of Surplus Lines Business
(Excel spreadsheet format with calculations)
(How to download an Excel spreadsheet file)
Quarterly Report of Surplus Lines Business
(Adobe pdf format for manual preparation)
Annual Report of Surplus Lines Business
(Excel spreadsheet format)
(How to download an Excel spreadsheet file)
Annual Report of Surplus Lines Business
(Adobe pdf format)
NAIC Standard Form Trust Agreement for Alien Excess or Surplus Lines Insurers
Tax Rates and Requirements to Effect Insurance
in Non-Admitted Companies
Application for a
Corporate Surplus Lines License
Quarterly Report of Surplus Lines Business
(Excel spreadsheet format with calculations))
(How to download an Excel spreadsheet file)
Quarterly Report of Surplus Lines Business
(Adobe pdf format)
Annual Report of Surplus Lines Business
(Excel spreadsheet format for manual preparation)
(How to download an Excel spreadsheet file)
Annual Report of Surplus Lines Business
(Adobe pdf format)
NAIC Standard Form Trust Agreement for Alien Excess or Surplus Lines Insurers
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