P.R. Laws tit. 26, § 1008
At the time of procuring any surplus line insurance, the producer shall execute and file with the Commissioner his report thereof in duplicate and under oath, setting forth facts from which it may be determined whether the requirements of § 1007 of this title have been met, and in addition thereto the following:
(1) Name and address of the insurer, and name and address of the person named in the policy pursuant to § 1009(1) of this title to whom the Commissioner shall send copies of legal process and other legal documents.
(2) Number of the policy issued.
(3) Exact name and address of the insured.
(4) Nature and amount of liability assumed by the insurer.
(5) Premium rate charged.
(6) Amount of total premium.
(7) Other information required by the Commissioner.
The Commissioner shall prescribe and furnish the required report form.
History —Ins. Code § 10.080.