ACORD 67IN Instructions

ACORD 67 (2001/07) – Mine Subsidence Property InsuranceSupplement, Illinois, Indiana, Kentucky, West Virginia

State laws in Illinois, Indiana, Kentucky and West Virginia require that mine subsidence insurance coverage must be provided to dwelling insureds located in specified counties, unless the insured rejects coverage in writing.

Use ACORD 67 with Homeowners Application, ACORD 80, or Dwelling Fire Application, ACORD 84, to comply with the laws mentioned above.