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Unlicensed Ocean Marine Disclosure Form

NOTE: Section 38.2-1802 D of the Code of Virginia places the responsibility for providing the Unlicensed Ocean Marine Disclosure Form upon the agent or agency that sells, solicits, or negotiates ocean marine insurance on the behalf of any insurer not licensed to transact that business in Virginia.

It is, therefore, the agent or agency's responsibility to determine whether an insurer with which the agent or agency wishes to place ocean marine coverage has that specific authority in Virginia, and to provide the disclosure form to the customer if the insurer does NOT have such authority.

The most direct method of making this determination for each insurer is for the agent or agency to contact that insurer directly at the time negotiations for coverage begin and obtain from the insurer proof of Virginia Ocean Marine authority. If the insurer is unable to provide such proof, the agent or agency must provide the disclosure form.

There are two options to view our Unlicensed Ocean Marine Disclosure Form: you can download a form in Word format or in PDF format. Note: Acrobat Reader is needed to view PDF files. You can download the program by clicking on the “Get Acrobat Reader” button.

Download the Word Version of the Form

View the PDF Version of the Form

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