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Bind: diligent search affidavit

Frame 12 — Set A ready →

ALTHEA

Schneider Insurance · Richard ▾

✓

Identity

2

Requirements

3

Sign

4

Bound

Quote #ALT-2026-04217 · proceeding to bind

16573 Pine Valley Ct, Loxley AL 36551 · Alex & Mariana Hartley

$1,520/yr · 2% wind · effective June 5, 2026 Details ▾

Bind requirements · Step 2 of 2

Diligent search affidavit

Alabama surplus lines law requires you to attest that you approached admitted-market carriers and they declined to write the risk. Pick three carriers and a declination reason for each — we'll generate the affidavit for your signature.①

Carriers approached & declination reasons②

Allstate Insurance Co.prefilled ▾

No market ▾

Remove

State Farm Mutual Auto. Ins. Co.prefilled ▾

Did not respond ▾

Remove

USAAprefilled ▾

Capacity exceeded ▾

Remove

+ Add another carrier

✓

I made a diligent effort to procure this coverage from admitted carriers in Alabama, and the carriers listed above declined to write the risk for the reasons indicated. Per AL §27-10-22.

Sign here③

Richard Schneider

Signed 2026-05-25 14:32 CDT · License #SL-AL-29481 · IP 73.27.118.44

Clear & re-sign

Almost there. Next you'll generate the Set A packet for Alex & Mariana to sign.

Continue to Set A →

Stories covered

As an agent, I want to be prompted for diligent search if required.
As an agent, I want to pick the three carriers I approached from a curated dropdown of HO carriers (or free-text type additional carriers).
As an agent, I want my three most recently-used carriers pre-filled from my agent profile, then saved back each submission for next time.
As an agent, I want to pick declination reasons from a dropdown (no market / did not respond / capacity exceeded / non-renewing / referred to E&S) per carrier.
As an agent, I want to e-sign the diligent search affidavit with a single click within the bind UI.
As Althea compliance, I want the diligent search affidavit stored as PDF, attached to SLIP+ PN filing, pinned to policy at commit.

Interactions

Crumb / step header — "Step 2 of 2" of bind requirements, after HO3 attestation. Brief explainer at the top so a junior agent knows why this exists.
Carrier + reason picks — curated dropdowns of AL-admitted HO carriers and the five canonical declination reasons (no market / did not respond / capacity exceeded / non-renewing / referred to E&S). Pre-filled from the agent's last submission; saved back on continue. Free-text for any carrier not in the dropdown.
Agent signature — single click signs the affidavit. Signature pad captures a PNG, embedded in the affidavit PDF by InsCipher's Diligent Forms API. Affidavit PDF stored in the agent portal and attached to the surplus lines filing automatically.