ACORD 66RI Instructions

ACORD 66 RI (2003/04) – Application for Dwelling Fire Insurance Inspection and Placement

Use this form to apply for Dwelling Fire insurance with the Rhode Island Joint Reinsurance Association.

See also ACORD 67 RI for required disclosure notices and useinstructions. ACORD 67 RI must be used with ACORD 66 RI.