ACORD 67OH Instructions

Section Name Field Name Field and/or Section Description
TITLE ACORD 67 OH (2009/07) Ohio Mine SubsidenceHomeowners and Dwelling Supplement The title of the form. ACORD 67 OH, Ohio Mine Subsidence Homeowners and Dwelling Supplement, complies withOhio law which requires that mine subsidence insurance coverage must be provided to dwelling insureds located in specified counties, unless the insured rejects coverage in writing. Refer to your Homeowners or Dwelling manual for the mandatory counties. Ohio law also requires that mine subsidence insurance must be offered as an option to dwelling insureds in the following counties: – Delaware – Erie – Geauga – Lake – Licking – Medina – Ottawa – Portage – Preble – Summit – Wayne Use ACORD 67 OH to apply for mine subsidence insurance in these counties. Also see ACORD 68 OH, to offer mine subsidence insurance coverage in these counties.