ACORD 172 OH (2002/09) – Ohio FAIR Plan Underwriting Association – Homeowners Supplement
This supplement must be attached to a fully completed Ohio FAIR PlanBasic Property Application, ACORD 171 OH, when applying forHomeowners Insurance through the Ohio FAIR Plan Underwriting Association. See ACORD 170 OH for instructions on the proper completionof applications submitted to the Ohio FAIR Plan.
The Ohio FAIR Plan document number for this form was OFP-HS (10/00).
For additional information, contact the Ohio FAIR Plan Underwriting Association at (614) 839-6446 or (800) 282-1772.