Form 289r - Surety Bond printable pdf download

Form 289r - Surety Bond

Instructions to complete the Surety Bond form:

1. Type social security or tax identification number.

2. If incorporated, apply impression of corporate seal.

Note: The corporate seal must agree with the corporation’s name on the Surety Bond. If there is no corporate seal,

please indicate and write “NONE” in the designated space.

3. Type date the Surety Bond is to be signed on the Power of Attorney (usually the last date on the form).

Note: This date must agree with the Notary Certificate date for the Surety signature.

4. Have Corporate Officer sign the Surety Bond and enter title of signatory.

5. Notarize the Corporate Officer’s signature.

Note: Do not alter name or date of Notary Certificate.

6. Apply impression of notary seal.

Note: The seal must contain the name of Notary Public.

7. Submit Surety Bond to insurance company for completion.

The Surety Company selected must be rated C (per Weiss Ratings, Inc.) or higher for FPL’s acceptance. In

addition, this rating is monitored to ensure that this minimum rating is maintained throughout the life of your

bond.

Upon receipt of Surety Bond and Power of Attorney from Insurance/Surety Company, retain triplicate copy and

return original to: FPL, Attention: Deposit Administration, 9250 W. Flagler Street, Miami, FL 33174 or FPL, P. O.

Box 025209, Miami, FL 33102.

With the Surety Bond and Power of Attorney, include a contact name and telephone number in case there are any

questions about the bond. Upon receipt of the completed Surety Bond, all cash deposits will be applied to your

electric bills.

Form 289R (Non-Stocked) Rev. 11/02

Form 289r - Surety Bond