Fillable Delaware Department of Insurance Property and Casualty and (Department of Technology and Information)

Fill Online, Printable, Fillable, Blank Delaware Department of Insurance Property and Casualty and (Department of Technology and Information) Form

Use Fill to complete blank online DEPARTMENT OF TECHNOLOGY AND INFORMATION (DE) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Delaware Department of Insurance Property and Casualty and (Department of Technology and Information)

On average this form takes 12 minutes to complete

The Delaware Department of Insurance Property and Casualty and (Department of Technology and Information) form is 2 pages long and contains:

  • 0 signatures
  • 0 check-boxes
  • 49 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Department of Technology and Information

BROWSE DEPARTMENT OF TECHNOLOGY AND INFORMATION (DE) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
1
Delaware Department of Insurance
Property and Casualty and Surplus Lines Insurance Carriers Survey
Date Completed: _________________________ NAIC #: ____________________________
Insurance Company: ____________________________________________________________
_____________________________________________________________________________
Toll-Free Consumer Contact Telephone Number: _____________________________________
_____________________________________
Please indicate all Lines of Authority that your company markets in Delaware.
_____ Homeowners
_____ Mobile Homes _____ Manufactured Homes _____ Beach Property
_____ Flat Roof _____ Condominiums _____ Older Homes
_____ Rental Property
How far from the Ocean? _________________________________________________________
_________________________________________________________
_____ Auto Coverage
_____ Standard Risk _____ Non-Standard Risk _____ GAP Insurance
_____ Motorcycle _____ Travel Trailers _____ Boats
_____ Recreational Vehicles
Comments: ____________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Other Lines Written: ____________________________________________________________
____________________________________________________________
____________________________________________________________
Please answer the following questions:
1. Please indicate the counties in which you offer mobile home coverage:
_______________________________________________________________________
_______________________________________________________________________
2. Do you insure mobile homes that have a deed rather than a title as a Class C Property?
Yes _____ No _____
2
3. Do you use credit scoring as an underwriting factor? Yes _____ No _____
For what lines? ___________________________________________________________
___________________________________________________________
___________________________________________________________
4. How are fair market values for autos determined? _____________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
5. How do you treat the graduated license? ____________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Delaware Department of Insurance Property and Casualty and (Department of Technology and Information)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 13 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document