ACORD 340 Instructions


Section Name Field Name Field and/or Section Description
TITLE ACORD 340 (2009/06) Aircraft Change Request The title of the form. ACORD 340, Aircraft Change Request, is used to submit requested changes to an aircraft policy. This form may stand on its own or be attached to the ACORD 335, Aviation Policy Change RequestApplicant Information 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.

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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Aircraft # Enter identifier: The producer assigned aircraft number.
AIRCRAFT 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).
AIRCRAFT INFORMATION Base Airport ID Enter code: The Federal Aviation Administration’s designator for the airport where this aircraft is based (e.g. ORD – O’Hare International Airport).
AIRCRAFT 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).
AIRCRAFT INFORMATION Reg Number Enter identifier: The registration number of the aircraft (a.k.a. tail number).
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Year Enter year: The year of the aircraft.
AIRCRAFT 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).
AIRCRAFT INFORMATION Make Enter text: The manufacturer of the aircraft.
AIRCRAFT 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).
AIRCRAFT INFORMATION Model Enter text: The model of the aircraft.
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Serial # Enter identifier: The serial number of the aircraft.
AIRCRAFT 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).
AIRCRAFT INFORMATION Aircraft Type Enter code: The type of aircraft. Valid codes are: 1 – Glider 2 – Balloon 3 – Blimp-Dirigible 4 – Fixed Wing Single Engine 5 – Fixed Wing Multi Engine 6 – Rotorcraft 7 – Weight Shift Control 8 – Powered Parachute 9 – Gyroplane OT – Other
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Aircraft Use Enter code: The primary use of the aircraft (i.e. AA – Air Ambulance, BT – Banner Towing, CH – Charter, CO – Cargo Only, FC – Full Commercial, IA – Industrial Aid, PB – Pleasure and Business, etc.).
AIRCRAFT 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).
AIRCRAFT INFORMATION Engine Type Enter code: The type of engine on the aircraft.
AIRCRAFT 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).
AIRCRAFT INFORMATION Horsepower Enter number: The horsepower of the engine used on the aircraft.
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Engine Hours 1 Enter number: The number of flight hours on engine 1.
AIRCRAFT 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).
AIRCRAFT INFORMATION Engine Hours 2 Enter number: The number of flight hours on engine 2.
AIRCRAFT 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).
AIRCRAFT INFORMATION Engine Hours 3 Enter number: The number of flight hours on engine 3.
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Engine Hours 4 Enter number: The number of flight hours on engine 4.
AIRCRAFT 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).
AIRCRAFT INFORMATION Hrs. Last 12 Mos. Enter number: The total number of hours logged for the past 12 months.
AIRCRAFT 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).
AIRCRAFT INFORMATION Seating Cap. Enter number: Enter the seating capacity of the aircraft.
Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Value Enter amount: Enter the value of the aircraft.
AIRCRAFT 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).
AIRCRAFT INFORMATION Hangared Check the box (if applicable): Indicates the aircraft is stored in a hangar.
AIRCRAFT INFORMATION Moored Check the box (if applicable): Indicates the aircraft is moored.
AIRCRAFT INFORMATION Tied-Out Check the box (if applicable): Indicates the aircraft is tied out.
AIRCRAFT INFORMATION Other Storage Check the box (if applicable): Indicates the aircraft is stored in a manner other than those listed.
AIRCRAFT INFORMATION Describe Other Storage Enter text: The description of the storage area used for the aircraft.

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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Airframe Hours Enter number: The number of hours of the airframe.
AIRCRAFT 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).
AIRCRAFT INFORMATION Date of Last Annual Enter date: The date of the last annual inspection.
AIRCRAFT 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).
AIRCRAFT INFORMATION Territory Enter text: The description of the rating territory for the aircraft.
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Aircraft Hull Valuation Agreed Amount Check the box (if applicable): Indicates the type of value used in determining the limit of insurance is the agreed amount.
AIRCRAFT INFORMATION Aircraft Hull Valuation Insured Amount Check the box (if applicable): Indicates the type of value used in determining the limit of insurance is the insured amount.
AIRCRAFT INFORMATION Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION Aircraft Hull Limit Enter limit: The limit amount for aircraft hull coverage.
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Section Name Field Name Field and/or Section Description
AIRCRAFT INFORMATION Aircraft Hull Limit Applies To Enter code: The code identifying what the limit applies to. Examples: Total Aircraft, Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
AIRCRAFT INFORMATION Aircraft Hull Limit Enter limit: The limit amount for aircraft hull coverage.
AIRCRAFT INFORMATION Aircraft Hull Limit Applies To Enter code: The code identifying what the limit applies to. Examples: Total Aircraft, Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
AIRCRAFT INFORMATION Aircraft Hull Limit Enter limit: The limit amount for aircraft hull coverage.
AIRCRAFT INFORMATION Aircraft Hull Limit Applies To Enter code: The code identifying what the limit applies to. Examples: Total Aircraft, Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
AIRCRAFT INFORMATION Aircraft Hull Deductible Enter deductible: The deductible amount for aircraft hull coverage.
AIRCRAFT INFORMATION Aircraft Hull Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION Aircraft Hull Deductible Enter deductible: The deductible amount for aircraft hull coverage.
AIRCRAFT INFORMATION Aircraft Hull Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION Aircraft Hull Deductible Enter deductible: The deductible amount for aircraft hull coverage.
AIRCRAFT INFORMATION Aircraft Hull Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION Aircraft Hull Premium Enter amount: The premium amount for aircraft hull coverage.
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Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION Aircraft Liability Each Occurrence Enter limit: The each occurrence limit amount for aircraft liability coverage.
ACORD 340 (2009/06) 13 of 64

Section Name Field Name Field and/or Section Description
AIRCRAFT INFORMATION Aircraft Liability Each Passenger Enter limit: The each passenger limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION Aircraft Liability Each Person Enter limit: The each person limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION Aircraft Liability Aggregate Enter limit: The aggregate limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION Aircraft Liability Deductible Enter deductible: The deductible amount for aircraft liability coverage.
AIRCRAFT INFORMATION Aircraft Liability Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION Aircraft Liability Deductible Enter deductible: The deductible amount for aircraft liability coverage.
AIRCRAFT INFORMATION Aircraft Liability Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION Aircraft Liability Premium Enter amount: The premium amount for aircraft liability coverage.
AIRCRAFT 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).
AIRCRAFT INFORMATION Medical Payments Including Crew Check the box (if applicable): Indicates the crew is included in the medical payments coverage.
AIRCRAFT INFORMATION Medical Payments Excluding Crew Check the box (if applicable): Indicates the crew is excluded from the medical payments coverage.
AIRCRAFT INFORMATION Medical Payments Each Person Enter limit: The each person limit amount for medical payments coverage.
ACORD 340 (2009/06) 14 of 64

Section Name Field Name Field and/or Section Description
AIRCRAFT INFORMATION Medical Payments Premium Enter amount: The premium amount for medical payments coverage.
AIRCRAFT 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).
AIRCRAFT INFORMATION Coverage Code Enter code: The code for the coverage.
AIRCRAFT INFORMATION 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)
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 15 of 64

Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Coverage Code Enter code: The code for the coverage.
AIRCRAFT INFORMATION 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)
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 16 of 64

Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Coverage Code Enter code: The code for the coverage.
AIRCRAFT INFORMATION 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)
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 17 of 64

Section Name Field Name Field and/or Section Description
AIRCRAFT 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).
AIRCRAFT INFORMATION Coverage Code Enter code: The code for the coverage.
AIRCRAFT INFORMATION 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)
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION Option Description Enter text: The description of the option being requested.
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Limit Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Deductible Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION Applies To Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 18 of 64

Section Name Field Name Field and/or Section Description
OPEN PILOT WARRANTY 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).
OPEN PILOT WARRANTY Form Number Enter identifier: The number used by the insurer for this form.
OPEN PILOT WARRANTY 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).
OPEN PILOT WARRANTY Form Name Enter text: The name of the form.
OPEN PILOT WARRANTY 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).
OPEN PILOT WARRANTY Description Enter text: The description of the form.
ACORD 340 (2009/06) 19 of 64

Section Name Field Name Field and/or Section Description
OPEN PILOT WARRANTY 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).
OPEN PILOT WARRANTY Form Number Enter identifier: The number used by the insurer for this form.
OPEN PILOT WARRANTY 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).
OPEN PILOT WARRANTY Form Name Enter text: The name of the form.
OPEN PILOT WARRANTY 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).
OPEN PILOT WARRANTY Description Enter text: The description of the form.
ACORD 340 (2009/06) 20 of 64

Section Name Field Name Field and/or Section Description
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Loc # Enter number: The producer assigned number of the location.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Airport ID Enter identifier: The Federal Aviation Administration’s designator for the airport (e.g. ORD O’Hare International Airport).
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Airport Name Enter text: The full name of the location.
ACORD 340 (2009/06) 21 of 64

Section Name Field Name Field and/or Section Description
BASE AIRPORT 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).
BASE AIRPORT INFORMATION City Enter text: The city of the physical location.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION State Enter code: The state or province of the physical location.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Private Check the box (if applicable): Indicates the airport is a private airport.
Section Name Field Name Field and/or Section Description
BASE AIRPORT INFORMATION Public Check the box (if applicable): Indicates the airport is a public airport.
BASE AIRPORT INFORMATION Restricted Check the box (if applicable): Indicates the airport is a restricted airport.
BASE AIRPORT INFORMATION Other Airport Type Check the box (if applicable): Indicates the airport type is other than those listed.
BASE AIRPORT INFORMATION Describe Other Airport Type Enter text: The description of the type of airport.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Hangared Check the box (if applicable): Indicates the hangars are available for aircraft storage.
BASE AIRPORT INFORMATION Moored Check the box (if applicable): Indicates aircraft are moored at the airport.
BASE AIRPORT INFORMATION Tied-Out Check the box (if applicable): Indicates aircraft are tied out at the airport.
BASE AIRPORT INFORMATION Other Storage Check the box (if applicable): Indicates the airport has aircraft storage facilities other than those listed.
BASE AIRPORT INFORMATION Describe Other Storage Enter text: The description of the aircraft storage facilities available at the airport.

ACORD 340 (2009/06) 22 of 64

ACORD 340 (2009/06) 23 of 64

Section Name Field Name Field and/or Section Description
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Length of Longest Runway Enter number: The length of the longest runway in feet.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Width of Longest Runway Enter number: The width of the longest runway in feet.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Are runways paved? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Are the runways paved?”.
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Section Name Field Name Field and/or Section Description
BASE AIRPORT INFORMATION If runways are not paved, explain. Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
BASE AIRPORT 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).
BASE AIRPORT INFORMATION Are runways lighted? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Are runways lighted?”.
IDENTIFICATION SECTION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
CORPORATE NON-OWNED COMPANY APPLICANTS Flying Hours Last Year: Enter year: The year for the flying hours you are reporting for last year.
CORPORATE NON-OWNED COMPANY APPLICANTS Flying Hours Next Year: Enter year: The year for the flying hours you are reporting for next year.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Annual Last Year Enter number: The total annual flying hours for last year.
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Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS Annual Next Year Enter number: The estimated total annual flying hours for next year.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Rented and use of employee owner aircraft. Last Year Enter number: The number of flying hours for rented and use of employee owner aircraft for last year.
CORPORATE NON-OWNED COMPANY APPLICANTS Rented and use of employee owner aircraft. Next Year Enter number: The estimated number of flying hours for rented and use of employee owner aircraft for next year.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Chartered aircraft with non-employee pilots Last Year Enter number: The number of flying hours for chartered aircraft with non-employee pilots for last year.
CORPORATE NON-OWNED COMPANY APPLICANTS Chartered aircraft with non-employee pilots Next Year Enter number: The estimated number of flying hours for chartered aircraft with non-employee pilots for next year.
Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS Employees 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Family Members 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Guests 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).

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Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Average Number of Passengers Each Trip Enter number: The average number of passengers on each trip.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Branch Offices Enter number: The number of branch offices.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS Total Employees Enter number: The number of total employees.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Employees who are pilots Enter number: The number of employees who are pilots.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Employees employed in a pilot capacity. Enter number: The number of employees employed in a pilot capacity.

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Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Employees owning aircraft. Enter number: The number of employees owning aircraft.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Employees whose regular duties include aircraft travel. Enter number: The number of employees whose regular duties include aircraft travel.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS Employees owning aircraft used on company business Enter number: The number of employees owning aircraft use on company business
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Liability Limit carried on primary basis Enter limit: The liability limit carried on a primary basis for employees owning aircraft used on company business.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Is insured listed as an additional insured? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “If an employee flies their own aircraft on company business, is the applicant listed as an additional insured on the employees’ policy?”.

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ACORD 340 (2009/06) 31 of 64

Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Aircraft Owned by Company Enter number: The number of aircraft owned by the company.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
CORPORATE NON-OWNED COMPANY APPLICANTS Make Enter text: The name of the manufacturer of the aircraft.
CORPORATE NON-OWNED COMPANY APPLICANTS 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).
Section Name Field Name Field and/or Section Description
CORPORATE NON-OWNED COMPANY APPLICANTS Model Enter text: The model name of the aircraft.
CORPORATE NON-OWNED COMPANY APPLICANTS 1. Any charters or rentals for more than seven consecutive days? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Any charters or rentals for more than seven consecutive days?”.
CORPORATE NON-OWNED COMPANY APPLICANTS Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
CORPORATE NON-OWNED COMPANY APPLICANTS 2. Any use of jets, helicopters, or aircraft over eight-place including crew? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Any use of jets, helicopters or aircraft over eight-place including crew?”.
CORPORATE NON-OWNED COMPANY APPLICANTS Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
CORPORATE NON-OWNED COMPANY APPLICANTS 3. Is the insured, as a customer, included as an additional insured on the charter primary policy? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Is insured, as a customer, included as an additional insured on the charter primary policy?”.
CORPORATE NON-OWNED COMPANY APPLICANTS a) If yes, has a certificate of insurance been obtained? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “If insured, as a customer, is included as an additional insured on the charter primary policy, has a certificate of insurance been obtained?”.
CORPORATE NON-OWNED COMPANY APPLICANTS 4. Liability limit on rented or chartered aircraft: Enter limit: The liability limit on rented or chartered aircraft.
TURBINE AIRCRAFT Flying Hours Last Year: Enter year: The year for the flying hours you are reporting for last year.
TURBINE AIRCRAFT Flying Hours Next Year: Enter year: The year for the flying hours you are reporting for next year.

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ACORD 340 (2009/06) 33 of 64

Section Name Field Name Field and/or Section Description
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT Annual Last Year Enter number: The total annual flying hours for last year.
TURBINE AIRCRAFT Annual Next Year Enter number: The estimated total annual flying hours for next year.
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT Rented and use of employee owner aircraft. Last Year Enter number: The number of flying hours for rented and use of employee owner aircraft for last year.
TURBINE AIRCRAFT Rented and use of employee owner aircraft. Next Year Enter number: The estimated number of flying hours for rented and use of employee owner aircraft for next year.
TURBINE AIRCRAFT 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).
ACORD 340 (2009/06) 34 of 64

Section Name Field Name Field and/or Section Description
TURBINE AIRCRAFT Chartered aircraft with non-employee pilots Last Year Enter number: The number of flying hours for chartered aircraft with non-employee pilots for last year.
TURBINE AIRCRAFT Chartered aircraft with non-employee pilots Next Year Enter number: The estimated number of flying hours for chartered aircraft with non-employee pilots for next year.
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT 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).
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Section Name Field Name Field and/or Section Description
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT Average Number of Passengers Each Trip Enter number: The average number of passengers on each trip.
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT Maintenance Facility Enter text: The maintenance facility used for the aircraft.
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT Maintenance Program Enter text: The maintenance program used on the aircraft.
Section Name Field Name Field and/or Section Description
TURBINE AIRCRAFT 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).
TURBINE AIRCRAFT Is the aircraft equipped with a traffic and/or terrain collision avoidance system? If yes, enter type: Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Is the aircraft equipped with a traffic and/or terrain collision avoidance system?”. As used here, if yes, enter type of traffic and / or terrain collision avoidance system.
TURBINE AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Enter names used in any former aerial application business. Enter text: The name used in any former aerial application business.

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Section Name Field Name Field and/or Section Description
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Enter names used in any former aerial application business. Enter text: The name used in any former aerial application business.
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Enter names used in any former aerial application business. Enter text: The name used in any former aerial application business.
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Enter names used in any former aerial application business. Enter text: The name used in any former aerial application business.
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Section Name Field Name Field and/or Section Description
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Num Years Conducting Aerial Agricultural Operations Enter number: The number of years the insured has been conducting aerial agricultural operations.
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Home State of Operation Enter code: The state or province code for the home state of operations.
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Describe Operations in Other States Enter text: The description of operations conducted in other states.
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Section Name Field Name Field and/or Section Description
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT If you participate in NAAA PAASS safety program, enter last date completed Enter date: The date the safety program was completed. This is date the National Agricultural Aviation Association (NAAA) Professional Aerial Application Support System (PAASS) Safety Program was completed.
AGRICULTURAL AIRCRAFT 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).
AGRICULTURAL AIRCRAFT Number of Aircraft owned, leased or operated by you Enter number: The number of aircraft owned, leased or operated by the insured.
AGRICULTURAL AIRCRAFT 1. Do you spray: Picloram Formulations (i.e. Tordon, Grazon, etc.) Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Do you spray – Picloram formulations (i.e. Tordon, Grazon, etc.)?”.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT 2. Do you sell, distribute, or provide any chemicals? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Do you sell, distribute, or provide any chemicals?”.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
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Section Name Field Name Field and/or Section Description
AGRICULTURAL AIRCRAFT 3. Are you a member of your state agricultural aviation association? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Are you a member of your State Agricultural Aviation Association?”.
AGRICULTURAL AIRCRAFT 4. Are you a member of any other state agricultural aviation association? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Are you a member of any other State Agricultural Aviation Association?”.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT 5. Are you a member of the National Agricultural Aviation Association? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Are you a member of the National Agricultural Aviation Association?”.
AGRICULTURAL AIRCRAFT 6. Have you had any workers compensation claims? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Have you had any Workers Compensation claims?”.
AGRICULTURAL AIRCRAFT Date of Loss Enter date: The date that the loss occurred.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT 7. Have any of your pilots been cited or fined? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Have any of your pilots been cited or fined?”.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT 8. Do you spray over any residential (or populated) areas? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Do you spray over any residential (or populated) areas?”.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT 9. Do you spray right-of-ways? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Do you spray right-of-ways?”.
AGRICULTURAL AIRCRAFT Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
AGRICULTURAL AIRCRAFT Describe additional uses. Enter text: The description of additional uses for the aircraft.
IDENTIFICATION SECTION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
ACORD 340 (2009/06) 41 of 64

Section Name Field Name Field and/or Section Description
ADDITIONAL INTERESTS 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 INTERESTS Additional Insured Check the box (if applicable): Indicates the additional interest type is an additional insured.
ADDITIONAL INTERESTS Breach of Warranty Check the box (if applicable): Indicates the additional interest type is a breach of warranty.
ADDITIONAL INTERESTS Co-Owner Check the box (if applicable): Indicates the additional interest type is a co-owner.
ADDITIONAL INTERESTS Leaseback Owner Check the box (if applicable): Indicates the additional interest type is a leaseback owner.
ADDITIONAL INTERESTS Lienholder Check the box (if applicable): Indicates the additional interest type is a lien holder.
ADDITIONAL INTERESTS Loss Payee Check the box (if applicable): Indicates the additional interest type is a loss payee.
ADDITIONAL INTERESTS Mortgagee Check the box (if applicable): Indicates the additional interest type is a mortgagee.
ADDITIONAL INTERESTS Other Additional Interest Check the box (if applicable): Indicates the additional interest is not any of the types listed on the form.
ADDITIONAL INTERESTS Describe Other Additional Interest Enter text: The description of the type of interest in the item.
ADDITIONAL INTERESTS Reason for Interest Enter text: The description for the interest in the item.
ADDITIONAL INTERESTS 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).
Section Name Field Name Field and/or Section Description
ADDITIONAL INTERESTS Rank Enter number: The ranking of ‘this’ additional interest when multiple additional interests are associated with the same item.
ADDITIONAL INTERESTS Evidence: Certificate Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance,
ADDITIONAL INTERESTS 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 INTERESTS Name Enter text: The additional interest’s full name.
ADDITIONAL INTERESTS 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 INTERESTS Street Enter text: The additional interest’s mailing address line one.
ADDITIONAL INTERESTS Street (Continued) Enter text: The additional interest’s mailing address line two.

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Section Name Field Name Field and/or Section Description
ADDITIONAL INTERESTS 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 INTERESTS City Enter text: The additional interest’s mailing address city name.
ADDITIONAL INTERESTS 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 INTERESTS State Enter code: The additional interest’s mailing address state or province code.
ADDITIONAL INTERESTS 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 INTERESTS Zip Enter code: The additional interest’s mailing address postal code.
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Section Name Field Name Field and/or Section Description
ADDITIONAL INTERESTS 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 INTERESTS Country Enter code: The additional interest’s country code.
ADDITIONAL INTERESTS 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 INTERESTS Reference # / Loan # Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured.
ADDITIONAL INTERESTS 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 INTERESTS Interest End Date Enter date: The date the interest holder’s interest terminates.
ACORD 340 (2009/06) 45 of 64

Section Name Field Name Field and/or Section Description
ADDITIONAL INTERESTS 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 INTERESTS Lien Amount Enter amount: The amount of the loan.
ADDITIONAL INTERESTS 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 INTERESTS Phone Enter number: The primary phone number of the additional interest.
ADDITIONAL INTERESTS 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 INTERESTS Fax Enter number: The primary fax number of the additional interest.
ACORD 340 (2009/06) 46 of 64

Section Name Field Name Field and/or Section Description
ADDITIONAL INTERESTS 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 INTERESTS E-mail Address Enter text: The primary e-mail address for the additional interest.
ADDITIONAL INTERESTS Location Enter number: The producer assigned number of the location which has an additional interest.
ADDITIONAL INTERESTS Building Enter number: The producer assigned number of the building which has an additional interest.
ADDITIONAL INTERESTS Airport Enter identifier: The Federal Aviation Administration’s designator for the airport (e.g. ORD O’Hare International Airport).
ADDITIONAL INTERESTS Aircraft Enter number: The producer assigned number of the aircraft which has an additional interest.
ADDITIONAL INTERESTS Item Class Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs, Contractors Equipment, etc.).
ADDITIONAL INTERESTS Item Enter number: The producer assigned number of the scheduled item which has an additional interest.
ADDITIONAL INTERESTS Item Description Enter text: The description of the item which has an additional interest.
POLICY 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).
POLICY COVERAGES Aircraft Hull Valuation Agreed Amount Check the box (if applicable): Indicates the type of value used in determining the limit of insurance is the agreed amount.
ACORD 340 (2009/06) 47 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Aircraft Hull Valuation Insured Amount Check the box (if applicable): Indicates the type of value used in determining the limit of insurance is the insured amount.
POLICY COVERAGES Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
POLICY COVERAGES Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
POLICY COVERAGES Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
POLICY COVERAGES Aircraft Hull Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Hull Option Description Enter text: The description of the option being requested. Examples: All Risk Ground and Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
POLICY COVERAGES Aircraft Hull Limit Enter limit: The limit amount for aircraft hull coverage.
POLICY COVERAGES Aircraft Hull Limit Applies To Enter code: The code identifying what the limit applies to. Examples: Total Aircraft, Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
POLICY COVERAGES Aircraft Hull Limit Enter limit: The limit amount for aircraft hull coverage.
POLICY COVERAGES Aircraft Hull Limit Applies To Enter code: The code identifying what the limit applies to. Examples: Total Aircraft, Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
POLICY COVERAGES Aircraft Hull Limit Enter limit: The limit amount for aircraft hull coverage.
POLICY COVERAGES Aircraft Hull Limit Applies To Enter code: The code identifying what the limit applies to. Examples: Total Aircraft, Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
POLICY COVERAGES Aircraft Hull Deductible Enter deductible: The deductible amount for aircraft hull coverage.
ACORD 340 (2009/06) 48 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Aircraft Hull Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
POLICY COVERAGES Aircraft Hull Deductible Enter deductible: The deductible amount for aircraft hull coverage.
POLICY COVERAGES Aircraft Hull Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
POLICY COVERAGES Aircraft Hull Deductible Enter deductible: The deductible amount for aircraft hull coverage.
POLICY COVERAGES Aircraft Hull Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
POLICY COVERAGES Aircraft Hull Premium Enter amount: The premium amount for aircraft hull coverage.
POLICY 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).
POLICY COVERAGES Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
ACORD 340 (2009/06) 49 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
POLICY COVERAGES Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
POLICY COVERAGES Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
POLICY COVERAGES Aircraft Liability Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Aircraft Liability Option Description Enter text: The description of the option being requested. Examples: Adjacent Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD, CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding Chemicals, PD Only, Total Limit.
POLICY COVERAGES Aircraft Liability Each Occurrence Enter limit: The each occurrence limit amount for aircraft liability coverage.
POLICY COVERAGES Aircraft Liability Each Passenger Enter limit: The each passenger limit amount for aircraft liability coverage.
POLICY COVERAGES Aircraft Liability Each Person Enter limit: The each person limit amount for aircraft liability coverage.
POLICY COVERAGES Aircraft Liability Aggregate Enter limit: The aggregate limit amount for aircraft liability coverage.
POLICY COVERAGES Aircraft Liability Deductible Enter deductible: The deductible amount for aircraft liability coverage.
POLICY COVERAGES Aircraft Liability Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
ACORD 340 (2009/06) 50 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Aircraft Liability Deductible Enter deductible: The deductible amount for aircraft liability coverage.
POLICY COVERAGES Aircraft Liability Deductible Applies To Enter code: The code identifying what the deductible applies to. Examples: All Other, Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse / Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
POLICY COVERAGES Aircraft Liability Premium Enter amount: The premium amount for aircraft liability coverage.
POLICY 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).
POLICY COVERAGES Medical Payments Including Crew Check the box (if applicable): Indicates the crew is included in the medical payments coverage.
POLICY COVERAGES Medical Payments Excluding Crew Check the box (if applicable): Indicates the crew is excluded from the medical payments coverage.
POLICY COVERAGES Medical Payments Each Person Enter limit: The each person limit amount for medical payments coverage.
POLICY COVERAGES Medical Payments Premium Enter amount: The premium amount for medical payments coverage.
POLICY 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).
POLICY COVERAGES Builder’s Risk Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
ACORD 340 (2009/06) 51 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Builder’s Risk Option Description Enter text: The description of the option being requested.
POLICY COVERAGES Builder’s Risk Option Checkbox Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Builder’s Risk Option Description Enter text: The description of the option being requested.
POLICY COVERAGES Builder’s Risk Limit Enter limit: The limit amount for builder’s risk coverage.
POLICY COVERAGES Builder’s Risk Limit Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Builder’s Risk Limit Enter limit: The limit amount for builder’s risk coverage.
POLICY COVERAGES Builder’s Risk Limit Applies To Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Builder’s Risk Deductible Enter deductible: The deductible amount for builder’s risk coverage.
POLICY COVERAGES Builder’s Risk Deductible Applies To Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Builder’s Risk Deductible Enter deductible: The deductible amount for builder’s risk coverage.
POLICY COVERAGES Builder’s Risk Deductible Applies To Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Builder’s Risk Premium Enter amount: The premium amount for builder’s risk coverage.
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
ACORD 340 (2009/06) 52 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
ACORD 340 (2009/06) 53 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
ACORD 340 (2009/06) 54 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
ACORD 340 (2009/06) 55 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
ACORD 340 (2009/06) 56 of 64

Section Name Field Name Field and/or Section Description
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 57 of 64

Section Name Field Name Field and/or Section Description
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 58 of 64

Section Name Field Name Field and/or Section Description
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 59 of 64

Section Name Field Name Field and/or Section Description
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 60 of 64

Section Name Field Name Field and/or Section Description
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
ACORD 340 (2009/06) 61 of 64

Section Name Field Name Field and/or Section Description
POLICY 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).
POLICY COVERAGES Coverage Code Enter code: The code for the coverage.
POLICY 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)
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Options Check Box Check the box (if applicable): Indicates a coverage option applies to the coverage.
POLICY COVERAGES Describe Option Enter text: The description of the option being requested.
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Limit Enter limit: The limit amount for the coverage.
POLICY COVERAGES Limit Applies to: Enter code: The code identifying what the limit applies to (i.e. per occurrence).
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Deductible Enter deductible: The deductible amount for the coverage.
POLICY COVERAGES Deductible Applies to: Enter code: The code identifying what the deductible applies to.
POLICY COVERAGES Premium Enter amount: The premium amount for the coverage.
IDENTIFICATION SECTION Agency Customer ID Enter identifier: The customer’s identification number assigned by the producer (e.g. agency or brokerage).
ACORD 340 (2009/06) 62 of 64

Section Name Field Name Field and/or Section Description
GENERAL INFORMATION 1. Does the applicant own any other aircraft not listed? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Does the applicant own any other aircraft not listed?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 2. Does the aircraft have other than a standard airworthiness certificate in full force and effect? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Does the aircraft have other than a standard airworthiness certificate in full force and effect?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 3. Has aircraft been equipped with any modifications not provided by the original manufacturer that alter the flying characteristics? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Has aircraft been equipped with any modifications not provided by the original aircraft manufacturer that alter the flying characteristics?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 4. Do you anticipate the aircraft to be operated outside the contiguous United States? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Do you anticipate aircraft to be operated outside the contiguous United States?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 5. Is there any unrepaired damage to the aircraft? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Is there any unrepaired damage to the aircraft?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 6. Will the aircraft be used for any purpose(s) for which a charge is made other than those allowed in far part 91? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Will aircraft be used for any purpose(s) for which a charge is made other than those allowed in FAR Part 91?”.
ACORD 340 (2009/06) 63 of 64

Section Name Field Name Field and/or Section Description
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 7. Will the aircraft be used for other than the transportation of persons (such as hunting, aerial applications, patrol, research, etc.)? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Will aircraft be used for other than transportation of persons (such as hunting, aerial applications, patrol, research, etc.)?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 8. Will the aircraft be used for student or pilot instruction other than for recurrent training of named pilots? If yes, provide all details: Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Will aircraft be used for student or pilot instruction other than for recurrent training of named pilots?
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 9. Will the aircraft be normally operated from other than paved airports? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Will aircraft be normally operated from other than paved airports?”.
GENERAL INFORMATION Where Enter text: The description of where the aircraft is used other than paved airports.
GENERAL INFORMATION Purpose Enter text: The purpose the aircraft is used in locations other than paved airports.
GENERAL INFORMATION Frequency Enter text: The frequency the aircraft is used in locations other than paved airports.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
GENERAL INFORMATION 10. Will the aircraft be operated off airport? Enter Y for a “Yes†response. Input N for “No†response. Indicates the response to the question, “Will the aircraft be operated off airport?”.
GENERAL INFORMATION Explain Enter text: An explanation of a response to a general information or underwriting question. Normally, “Yes” responses require an explanation.
GENERAL INFORMATION Aircraft Registration # Enter identifier: The registration number of the aircraft (a.k.a. tail number).
REMARKS (Attached ACORD 101, Additional Remarks Schedule, if more space is required) Remarks Enter text: The general remarks associated with the aircraft line of business. Use this section to provide any additional information required for underwriting or rating. Attach ACORD 101, Additional Remarks Schedule, is more space is required.