Consumer Information

Industry Information

News

Commissioner's Corner

Office of the Commissioner of Securities and Insurance
840 Helena Ave.
Helena, Montana 59601

Phone:
(800) 332-6148
(406) 444-2040

Fax::
(406) 444-3497
(406) 444-3413

TDD:
(406) 444-3426


Montana Surplus Lines Forms
Montana Surplus Lines Forms
There are two different versions of each form now.  If your surplus line agent is using the new on-line submission application, then you will use electronic version of the forms and the advantage is that the stamping fee is only 1/2% if the submission comes to our office electronically.  In either case, you will still have to keep the hard copy notarized form (or your scanned version of the form) in your office files.

New versions of these forms were posted on February 24, 2010. - Hint:  the fonts are quite small on these forms, so blow up the forms using the "+" command when filling in these forms.

Can't open the pdf's? Make sure you have the latest version of Adobe Acrobat Reader.

Do you have questions about Montana Surplus Lines?  Please call Pam Daugherty (406) 444-9751

PLEASE REMEMBER THAT SURPLUS LINES TAXES AND FEES ARE DUE ANNUALLY ON APRIL 1.  DO NOT SEND TAX AND FEE PAYMENTS WITH YOUR SUBMISSION FORM

Forms to Use if your Surplus Lines Producer will file on-line
(1/2% stamping fee): Forms to Use if your Surplus Lines Producer will file with hard copy forms by mail
(1% stamping fee):

PLEASE REMEMBER THAT SURPLUS LINES TAXES AND FEES ARE DUE ANNUALLY ON APRIL 1.  DO NOT SEND TAX AND FEE PAYMENTS WITH YOUR SUBMISSION FORM