New for 2014
The 2014 premium tax form for surplus line brokers has been updated to provide a streamlined look and feel.
All business entities with a surplus line broker license and some individuals with a surplus line broker license in the State of Washington during the tax year must complete a form, even if no business was actually transacted within the State of Washington during the tax period.
The completed online form and payment must be received by the Office of Insurance Commissioner on or before March 1 following the end of the calendar year. When the due date falls on a Saturday or Sunday, the form and payment are considered timely if received on the next business day.
Caution: Do not mail a paper version of the form or any attachments to our office.
Completing your premium tax form
The tax rate is 2 percent. Calculations are completed automatically.
The Surplus Line Association of Washington (www.surpluslines.org) enters premiums on your behalf as a courtesy; your tax form will not be available to file until they have entered your premiums.
The surplus line broker tax form is read-only.
Important: It is your responsibility as a surplus line broker to ensure your premiums are entered correctly. If you are not in agreement with the premiums entered on the tax form, contact the SLA of Washington.
Declaration and final submission
Review the declaration and, if necessary, update the contact information.
The contact information listed here is the insurance commissioner's only point of contact for premium taxes and regulatory surcharge purposes; please make sure the information is accurate.
Enter the name and title of the officer that has examined the form and declares that to the best of this officer’s knowledge and belief, the information is entirely true, accurate and complete.
Submit your form to the insurance commissioner by clicking "Final Submission".