Kentucky Revised Statutes · § 304.10-050 — Broker's affidavit

At the time of effecting any such surplus lines insurance, the broker shall execute an affidavit in form prescribed or accepted by the commissioner setting forth facts from which it can be determined whether such insurance was eligible for export under KRS 304.10-040. The broker shall file this affidavit with the commissioner in the manner and form as prescribed by the commissioner through administrative regulation.