All phone and fax numbers entered on application, including authorized submitter information, must contain ten (10) digits.
Applicant must provide a valid business email address and business phone number.
Surplus lines applicants must hold an equivalent license in his or her resident state.
At least one (1) Designated Responsible Licensed Producer (DRLP) must be provided on application and have an active resident or non-resident license in Hawaii.
The DRLPs provided on the producer and surplus lines application must cumulatively cover the lines of authority (LOAs) on the application.
Applicant may not enter the following address as the business address:
- 6140 S Gun Club Rd, STE K6
Aurora, CO 80016
If applicant responds "yes" to one of the background questions please submit supporting documents electronically via NIPR's Attachments Warehouse. The documents may also be submitted to the state via mail, email, or fax.