ACORD 66MD Instructions


ACORD 66 MD (2001/06) – Maryland Property Insurance AvailabilityProgram Essential Homeowners Insurance Inspection and Placement

Use this Form to apply for Homeowners Insurance through the Maryland Joint Insurance Association.

PLEASE NOTE THIS FORM IS PAGE TWO OF A TWO-PAGEAPPLICATION.

MUST BE USED WITH ACORD 65 MD (2001/06), PAGE ONE OF THE APPLICATION.