| Section Name |
Field Name |
Field and/or Section Description |
| TITLE ACORD 338 (2009/06) |
Private Hangar Liability Change Request |
The title of the form. ACORD 338, Private Hangar Liability Change Request, is used to submit requested changes to an private hangar policy. This form may stand on its own or be attached to the ACORD 335, Aviation Policy Change Request ApplicantInformation Section. |
| IDENTIFICATION SECTION |
Agency Customer ID |
Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage). |
| IDENTIFICATION SECTION |
Date (MM/DD/YYYY) |
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY) |
| IDENTIFICATION SECTION |
Agency |
Enter text: The full name of the producer/agency. |
| IDENTIFICATION SECTION |
Policy Number |
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. |
| IDENTIFICATION SECTION |
Effective Date |
Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. |
| IDENTIFICATION SECTION |
Effective Date of Change |
Enter date: The date on which the change should take effect. |
| IDENTIFICATION SECTION |
Effective Time of Change |
Enter time: The effective time of the policy change. |
| IDENTIFICATION SECTION |
Effective Time AM |
Check the box (if applicable): Indicates the effective time of the policy change is in the morning (AM). |
| IDENTIFICATION SECTION |
Effective Time PM |
Check the box (if applicable): Indicates the effective time of the policy change is in the afternoon or evening (PM). |
| IDENTIFICATION SECTION |
Named Insured |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
| IDENTIFICATION SECTION |
Carrier |
Enter text: The insurer’s full legal company name(s) as found in thefile copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer’s group name or trade name. |
| IDENTIFICATION SECTION |
NAIC Code |
Enter code: The identification code assigned to the insurer by the NAIC. |
ACORD 338 (2009/06) 1 of 17
ACORD 338 (2009/06) 2 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Location # |
Enter number: The location number for the premises. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Building # |
Enter number: The building number for the premises. Used when more than one building exists at an individual location. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Airport ID |
Enter identifier: The Federal Aviation Administration’s designator for the airport (e.g. ORD O’Hare International Airport). |
ACORD 338 (2009/06) 3 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Airport Name |
Enter text: The full name of the location. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Number of Hangars Insured |
Enter number: The number of hangars insured. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Number of Aircraft Owners Stores in the Insured Hangar. |
Enter number: The number of aircraft the owner stores in the insured hangar. |
ACORD 338 (2009/06) 4 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Maximum Value of all Aircraft Stored in the Hangar. |
Enter amount: The maximum value of all aircraft stored in the hangar. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Number of Hangar Spaces you Lease. |
Enter number: The number of hangar spaces leased by the insured. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Make One |
Enter text: The manufacturer of the aircraft. |
ACORD 338 (2009/06) 5 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Model One |
Enter text: The model of the aircraft. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Make Two |
Enter text: The manufacturer of the aircraft. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Model Two |
Enter text: The model of the aircraft. |
ACORD 338 (2009/06) 6 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Make Three |
Enter text: The manufacturer of the aircraft. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Model Three |
Enter text: The model of the aircraft. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Who has access to Leased Hangars? |
Enter text: The description of all parties that have access to leased hangars. |
ACORD 338 (2009/06) 7 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Liability and Physical Damage Insurance Company. |
Enter text: The insurer name on any other applicable insurance. As used here, this is the liability and physical damage insurance company. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Description of Hangar. |
Enter text: The description of the hangar. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Describe other items in storage. |
Enter text: The description of items other than aircraft that are stored in the hangar. |
ACORD 338 (2009/06) 8 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
Describe any Commercial Operations you or your tenant carry out in the hangar. |
Enter text: The description of any commercial operations you or your tenant carry out in the hangar. |
| HANGAR INFORMATION |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| HANGAR INFORMATION |
If you are required to sign airport hangar agreements with your city, with whom are the agreements signed? |
Enter text: The person and / or position of the person within the city with whom you are required to sign airport hangar agreements. |
| GENERAL INFORMATION |
Do you require hangar tenants to carry insurance? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Do you require hangar tenants to carry insurance?”. |
| GENERAL INFORMATION |
If yes, does their insurance policy name the owner as an additional insured? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “If you require hangar tenants to carry insurance, does their insurance policy name the owner as an additional insured?”. |
| GENERAL INFORMATION |
Do you require tenants to sign a hangar agreement holding you harmless for losses not caused by you? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Do you require tenants to sign hangar agreement holding you harmless for losses not caused by you?”. |
| Section Name |
Field Name |
Field and/or Section Description |
| GENERAL INFORMATION |
Are any aircraft of others taxied, towed or moved by applicant? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Are any aircraft of others taxied, towed or moved by applicant?”. |
| ADDITIONAL INSUREDS |
Additional Insured – Name (On Current Policy) |
Enter text: The additional interest’s full name. As used here, this is the additional insured’s name as it appears on the current policy. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – Name |
Enter text: The additional interest’s full name. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – Street |
Enter text: The additional interest’s mailing address line one. |
ACORD 338 (2009/06) 9 of 17
ACORD 338 (2009/06) 10 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – City |
Enter text: The additional interest’s mailing address city name. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – State |
Enter code: The additional interest’s mailing address state or province code. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – Zip |
Enter code: The additional interest’s mailing address postal code. |
| ADDITIONAL INSUREDS |
Certificate Required |
Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance, |
ACORD 338 (2009/06) 11 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Reason For Interest |
Enter text: The description for the interest in the item. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Phone |
Enter number: The primary phone number of the additional interest. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Fax |
Enter number: The primary fax number of the additional interest. |
ACORD 338 (2009/06) 12 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
E-Mail |
Enter text: The primary e-mail address for the additional interest. |
| ADDITIONAL INSUREDS |
Additional Insured – Name (On Current Policy) |
Enter text: The additional interest’s full name. As used here, this is the additional insured’s name as it appears on the current policy. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – Name |
Enter text: The additional interest’s full name. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – Street |
Enter text: The additional interest’s mailing address line one. |
ACORD 338 (2009/06) 13 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – City |
Enter text: The additional interest’s mailing address city name. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – State |
Enter code: The additional interest’s mailing address state or province code. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Additional Insured – Zip |
Enter code: The additional interest’s mailing address postal code. |
| ADDITIONAL INSUREDS |
Certificate Required |
Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance, |
ACORD 338 (2009/06) 14 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Reason For Interest |
Enter text: The description for the interest in the item. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Phone |
Enter number: The primary phone number of the additional interest. |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
Fax |
Enter number: The primary fax number of the additional interest. |
ACORD 338 (2009/06) 15 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| ADDITIONAL INSUREDS |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| ADDITIONAL INSUREDS |
E-Mail |
Enter text: The primary e-mail address for the additional interest. |
| COVERAGES |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| COVERAGES |
Hangarkeepers Legal Liability Including Taxi |
Check the box (if applicable): Indicates the including taxi option applies to the coverage. |
| COVERAGES |
Hangarkeepers Legal Liability In Flight |
Check the box (if applicable): Indicates the in flight option applies to the coverage. |
| COVERAGES |
Hangarkeepers Legal Liability Other Option |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES |
Hangarkeepers Legal Liability Describe Other Option |
Enter text: The description of the option being requested. Example: Ground Only. |
| COVERAGES |
Hangarkeepers Legal Liability Limit Each Aircraft |
Enter limit: The each aircraft limit amount for hangarkeepers legal liability coverage. |
| COVERAGES |
Hangarkeepers Legal Liability Limit Each Occurrence |
Enter limit: The each occurrence limit amount for hangarkeepers legal liability coverage. |
| COVERAGES |
Hangarkeepers Legal Liability Deductible |
Enter deductible: The deductible amount for hangarkeepers legal liability coverage. |
ACORD 338 (2009/06) 16 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| COVERAGES |
Hangarkeepers Legal Liability Applies To |
Enter code: The code identifying what the deductible applies to. Examples: Each and Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence |
| COVERAGES |
Hangarkeepers Legal Liability Deductible |
Enter deductible: The deductible amount for hangarkeepers legal liability coverage. |
| COVERAGES |
Hangarkeepers Legal Liability Applies To |
Enter code: The code identifying what the deductible applies to. Examples: Each and Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence |
| COVERAGES |
Hangarkeepers Legal Liability Deductible |
Enter deductible: The deductible amount for hangarkeepers legal liability coverage. |
| COVERAGES |
Hangarkeepers Legal Liability Applies To |
Enter code: The code identifying what the deductible applies to. Examples: Each and Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence |
| COVERAGES |
Hangarkeepers Legal Liability Premium |
Enter amount: The premium amount for hangarkeepers legal liability coverage. |
| COVERAGES |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
| COVERAGES |
Coverage Description |
Enter text: The description of other coverage (not the limit) on the policy. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s) |
| COVERAGES |
Option |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
| COVERAGES |
Option |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
| COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the deductible applies to. |
ACORD 338 (2009/06) 17 of 17
| Section Name |
Field Name |
Field and/or Section Description |
| COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the deductible applies to. |
| COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
| COVERAGES |
Type of Change |
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I – Informational Only No Change. Various combinations of changes are permitted in one submission. Use “A” to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use “D” to delete an item (e.g., delete a vehicle, delete a driver). Use “C” to change an item in the policy (e.g., change a deductible, change coverage limits). Use “I” to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter “A” in the type of change for Collision. Enter “I” in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). |
| COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
| COVERAGES |
Coverage Description |
Enter text: The description of other coverage (not the limit) on the policy. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s) |
| COVERAGES |
Option |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
| COVERAGES |
Option |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
| COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
| COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
| COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the deductible applies to. |
| COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
| COVERAGES |
Applies To |
Enter code: The code identifying what the deductible applies to. |
| COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
| Edition |
Date |
The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). |