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System Password Reset Request Form

Use the following form to submit a password reset request for the Online Filing System. It is not necessary to submit a password reset request if you remember your expired password and your password expired less than 90 days ago.

Broker/Agency Information
Registered Name of Agency/Broker

Surplus Lines license Number

Registered System User Information
User Name

User ID

Email Address

Telephone Number

Reset Password Options (Please select one of the following below)
I would like to request to have my Online Filing System Live Environment password reset.I would like to request that I replace a previous administrative user, so that a new User ID can be created in the Online Filing System Test Environment, in order to subsequently access and file in the Live Environment.

Previous Administrative User Name

Previous Administrative User Id

New User's Full Name

Signature Authorization
I understand that by checking this box, it constitutes a legal signature confirming that I have authorization from the Agency Principal listed below to use his/her electronic signature for the sole purpose of this system password reset request.

By typing the name of the agency principal (authorizing this request), you are indicating that you have the authority to use in place of “legal signature”.

First and Last Name

DISCLAIMER – IF THE USER MISREPRESENTS THEIR AUTHORITY, BY CLICKING SUBMIT, THE ENTITY WAIVES SLTX’S LIABILITY TO THE EXTENT POSSIBLE IN ACCORDANCE WITH TITLE 10 TEXAS BUSINESS AND COMMERCE CODE CHAPTER 322 REGARDING THE ELECTIVE METHOD OF UNIFORM ELECTRONIC TRANSACTIONS. THE LICENSED AGENCY PRINCIPAL MAY NOT TRANSFER OR DELEGATE AUTHORITY IN ACCORDANCE WITH TITLE 28 TEXAS ADMINISTRATIVE CODE SECTION 15.102(d).