THIS IS NOT AN AGENCY CONTRACT
All Florida licensed 2-20 agents holding an appointment to one or more member companies which is
authorized to write private passenger automobile liability and physical damage insurance and
commercial automobile liability and physical damage insurance are eligible to register with the FAJUA.
Eligible producers may register at
WWW.FAJUA.0RG, complete a Producer’s Contract and FAJUA’s Continuing
Education on Line.
All producers must register, complete a contract with the FAJUA and receive notice of acceptance from the
FAJUA prior to binding any coverage or accepting any premium payment on behalf of the FAJUA.
The FAJUA has 30 days from the date of receipt of the original Producer’s Contract and copies of the
front and back of the DFS license to notify the producer.
PLEASE NOTE: There are binding limitations for Commercial Risks. Please refer to the Underwriting
Manual of Rules and Rates for instructions.
Only agency employees who hold a current 2-20 license, have registered, and completed a Producer’s
Contract and FAJUA’s Continuing Education on Line may bind coverage with the FAJUA in accordance with
Florida Statutes 624.425 and 627.4085.
Producers are not authorized to issue the following on behalf of the FAJUA and its servicing carrier
- Automobile Insurance Identification Cards
ID Cards
- Certificates of Insurance
- SR 22
- Filings with any Government Entity - Local, State or Federal
- Any Type of Financial Responsibility Filings
- Any proof of coverage other than a copy of an application or
copy of the policy.
SUPPLEMENTAL FORMS FOR INSURANCE RISKS
PRODUCER REGISTRATION AND CONTRACT
PRODUCER BULLETINS
PRODUCERS CONTRACT TERM
Producers are required to submit new contracts biennially or when required by the FAJUA.
A renewal notice will be sent to all registered producers every two years.
PRODUCER APPEALS
Producers may appeal any decision of the FAJUA by sending an appeal to the FAJUA in writing within
30 days of the date of the FAJUA’s notice. Producers may appeal underwriting decisions made by the
servicing carrier by providing written notice to the servicing carrier within 30 days of their decision.
PRODUCERS COMPLIANCE MANUAL
SUBMISSION OF BUSINESS TO THE FAJUA
Producers must use the applications and quote requests approved by the Florida Department of Financial
Services for the FAJUA. The completed application and applicable down payment must be sent directly to
the Servicing Carrier.
STATE OF FLORIDA INSURANCE FRAUD NOTICE
Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or application containing any false, incomplete or misleading information is guilty of a felony of the third degree. Florida Statute 817.234
ALL INSUREDS HAVE SIGNED THIS STATEMENT ON THE FAJUA APPLICATION FOR INSURANCE. THIS MEANS THAT IF YOU ARE GUILTY OF INSURANCE FRAUD YOU MAY SPEND UP TO 5 YEARS IN PRISON.
You must immediately report all automobile insurance accident claims to 1-866-761-4177.
Spanish
Cualquier persona que con conocimiento y con el intento de dañar, defraudar, o engañar a cualquier asegurador someta un reclamo o applicacion que contenga información falsa, incompleta o engañosa es culpable de un crimen de tercer grado. Estatuto 817.234 De la Florida.
TODOS LOS ASEGURADOS HAN FIRMADO ESTA DECLARACIÓN SOBRE EL USO DE FAJUA PARA SEGUROS. ESTO SIGNIFICA QUE SI USTED ES CULPABLE DE FRAUDE DE SEGURO USTED PUEDE PASAR HASTA 5 AÑOS EN LA PRISIÓN.
Usted debe reportar inmediatamente todas las demandas de accidentes automobilisticos al 1-866-761-4177.
Creole
Toute personne que sciemment et avec l'intention à blesser, frauder, ou tromper n'importe quel assureur classe un rapport de réclamation ou d'application contenir l'information fausse, inachevée ou fallacieuse est coupable d'un crime du troisième degré. Statut 817.234 De la Floride
TOUS LES ASSURÉS ONT SIGNÉ CE RAPPORT SUR LA DEMANDE DE FAJUA D'INURANCE. CECI SIGNIFIE QUE SI VOUS ÊTES COUPABLE DE LA FRAUDE D'ASSURANCE VOUS POUVEZ PASSER JUSQU'À 5 ANS EN PRISON.
Vous devez immédiatement rapporter toutes les réclamations d'accidents d'assurance d'automobile à 1-866-761-4177.
Russian
Любой человек, который сознательно и с намерением повреждать, чтобы обмануть, или обманывать любого страховщика регистрирует исковое заявление или заявление, содержащее любую ложную, неполную или вводящую в заблуждение информацию, виновен в уголовном преступлении третьей степени. Флоридский Устав 817.234
ВСЕ ИНСЕРЕДС ПОДПИСАЛИ ЭТО УТВЕРЖДЕНИЕ О ЗАЯВЛЕНИИ ФАДЖУА ДЛЯ ИНЕРАНС. ЭТО ОЗНАЧАЕТ, ЧТО, ЕСЛИ ВЫ ВИНОВНЫ В СТРАХОВОМ МОШЕННИЧЕСТВЕ, ВЫ МОЖЕТЕ ПРОВЕСТИ ДО 5 ЛЕТ В ТЮРЬМЕ.
Вы должны немедленно сообщить обо всех автомобильных страховых требованиях несчастного случая 1-866-761-4177.
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