default namespace = "http://ws.slacal.org/schema/sl1/2007/10/15"
##
## This represents the XML version of the SL-1 Form:
## CONFIDENTIAL REPORT OF SURPLUS LINE PLACEMENT
## It is based on the revision from January 16, 1997
##
sl1form = element sl1form
{
	## Header: Please enter the Policy Number and the California Premium.
	element Policy_Number { text }?,
	element California_Premium { xsd:decimal }?,

	## Section 0: Please check ONE box only:
	## For XML please include the corresponding tag for each checkbox
	(
		## Section 0.a:
		## "The following information, accompanied by a copy of the
		## declarations page or certificate or binder, is submitted
		## for an insurance coverage or risk listed on the current
		## California Department of Insurance Export List.
		## (Calfornia Insurance Code Section 1763.1)"
		element Coverage_on_Export_List { empty } | 
		## Section 0.b:
		## "The following information, accompanied by a copy of the
		## declarations page or certificate or binder, and a fully
		## executed copy of the diligent search report (SL-2 Form),
		## is submitted in accordance with California Insurance Code
		## Section 1763(a)."
		element Diligent_Search_Report { empty }
	)?,

	## Section 1: Please enter the name of the Broker
	element Broker_Name { text },
	## "hereby submits that he/she is:"
	((
		## Section 1(A):
		## "a duly licensed surplus line broker, license number"
		element Broker_License_Number { text }
	) |
	## or,
	(
		## Section 1(B):
		## "a transactor on the surplus line license of"
		element Brokerage_Name { text }, # Name of Organization
		## Section 1(C):
		element Brokerage_License_Number { text } # License Number
	))?,
	## "and, that he/she or said organizational licensee was engaged by
	## the insured, or the insured's broker, named herein, to obtain
	## insurance against certain risk as described in this report."

	## Section 2: "Risk Description"
	## Section 2(A): "Name of Insured"
	## Please list all names. If there is a primary insured name it should
	## be listed first.
	element Insured_Name { text }*,
	## Section 2(B): "Address of Insured"
	## Multiple addresses can be provided (if applicable), however primary
	## insured's address should be listed first.
	element Insured_Address { address }*,
	## Section 2(C): "Description of the Risk
	## (e.g. Laundramat, Liqor Store, - NOT TYPE OF COVERAGE)"
	element Risk_Description { text }*,
	## Section 2(D): "Location of Risk"
	## Multiple addresses can be provided (if applicable). 
	element Risk_Address { address }*,
	## Section 2(E): "Export List Code or Coverage Code"
	## Multiple export/coverage codes can be provided if applicable.
	element Export_or_Coverage_Code { xsd:integer }*,
		
	## Section 3 "Placement Description
	## List Nonadmitted Insurer(s) Underwriting This Policy with
	## % of Premium."
	## Please list all nonadmitted insurers:
	element NonAdmitted_Insurers
	{
		## "Name of Nonadmitted Insurer(s)"
		element Insurance_Company { text }?, ## Full name
		element NAIC_Number { text }?, ## NAIC Number
		## "% of Premium"
		element Premium_Percent { xsd:decimal }
	}*,
	## "If Gap Provision applies please include Gap Exemption Form
	## Attachment."
	element GapAttachment { gapform }?,

	## Trailer
	## "Date" the original SL-1 Form was signed by the person named in
	## section 1.
	element Date_Signed { text }?
}

include "gap.rnc"

##
address |= element address
{
	## One or more lines of address information
	element Address { text }+,
	## Name of the city
	element City { text }?,
	## State or Province
	## For US and Canada please use official 2 character code
	## For all other countries (were applicable) please use the full name
	element State_or_Province { text }?,
	## Postal/ZIP Code
	## For US use ZIP+4 (5 digits, hyphen, 4 digits) or just 5 digit code.
	## For other countries enter postal code in the appropriate format.
	## In some countries the space between parts of the postal code is
	## significant and should not be omitted.
	element Postal_Code { text }?,
	## Country Name
	element Country { text }?
}