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.