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One Exchange Plaza
55 Broadway
29th Floor
New York, NY 10006

Phone:
(646) 292-5500
Electronic Filing System Requirements/Instructions (EFS)
Please visit the new EFS Resources page.

Part A: Affidavit by Excess Line Broker
Part A: Affidavit by Excess Line Broker (All Pages)PDF
Part A: Affidavit by Excess Line Broker (Page 1)PDF
Part A: Affidavit by Excess Line Broker (Page 2) PDF
Part A: Affidavit by Excess Line Broker (Page 3)PDF
Part A: Affidavit by Excess Line BrokerMS Word
Instructions for Excess Line BrokerPDF
Part A: Tax Allocation Report PDF


Part C: Affidavit by Producing Broker
Part C: Affidavit by Producing Broker (Page 1)PDF
Part C: Affidavit by Producing Broker (Page 2)PDF
Part C: Affidavit by Producing Broker (Page 1, Page 2)MS Word
Instructions for Producing BrokerPDF


Notice of Excess Line Placement/Total Cost Form
Notice of Excess Line Placement/Non Tax Allocated Total Cost FormMS Word
Notice of Excess Line Placement/Non Tax Allocated Total Cost FormPDF
Non Tax Allocated Total Cost Form InstructionsPDF
Notice of Excess Line Placement/Tax Allocated Total Cost FormMS Word
Notice of Excess Line Placement/Tax Allocated Total Cost FormPDF
Tax Allocated Total Cost Form InstructionsPDF


Batch Filing Report
Batch Filing ReportPDF
Batch Filing ReportMS Word


Membership Information Form
Membership Information FormPDF


Broker of Record
ELANY Broker of Record PDF


Producing Brokers On-Line Affidavit Registration
Producing Brokers Online Affidavit Registration FormPDF


Direct Procurement Tax Form - CT33D
Tax FormPDF
Tax InstructionPDF


2009 Year End Report Cover Letter
2009 Year End Report Cover LetterPDF


Consent to Service of Process
Consent to Service of ProcessPDF