Daily Archives: June 12, 2015


Section Name Field Name Field and/or Section Description Informal Inquiry Application – Part 2 Medical History, ACORD 781, is designed to be used by the medical examiner to gather medical history at the request of a broker or agent, so that an insurance inquiry can be submitted to a carrier. […]

ACORD 781 Instructions


ACORD 70 (2009/06) rev. 07-31-2009 1 of 74 Section Name Field Name Field and/or Section Description TITLE ACORD 70 (2009/06) Personal Policy Change Request (Except Auto) The title of the form. ACORD 70, Personal Policy Change Request (Except Auto), is used to request mid-term changes to any personal lines policy, […]

ACORD 70 Instructions


Section Name Field Name Field and/or Section Description Use this form to apply for dwelling fire insurance through the New Jersey Insurance New JerseyInsurance Underwriting Association. For further information, contact the New Jersey Insurance Title Underwriting Association Underwriting Association at 744 Broad Street, Newark, New Jersey 07102-3881 or at their […]

ACORD 67NJ Instructions



ACORD 67 FL (7/94) – Florida Homeowners Supplement,Replacement Cost and Law and Ordinance Coverages Florida law requires that all applicants for Homeowners insurance must be advised of the availability of Replacement Cost and Law and Ordinance coverages. The law also requires that insurance companies must obtain a written statement from […]

ACORD 67FL Instructions


ACORD 66 MD (2001/06) – Maryland Property Insurance Availability Program Essential Homeowners Insurance Inspection and Placement Use this Form to apply for Homeowners Insurance through the Maryland Joint Insurance Association. PLEASE NOTE THIS FORM IS PAGE TWO OF A TWO-PAGEAPPLICATION. MUST BE USED WITH ACORD 65 MD (2001/06), PAGE ONE […]

ACORD 66MD Instructions




Section Name Field Name Field and/or Section Description The title of the form. ACORD 63, Fraud Statements, is used in the following states that have enacted anti-fraud statutes that prescribe specific fraud warning text for disclosure notices to applicants for insurance and/or claimants. In the case of claimants, the back […]

ACORD 63 Instructions