Automobile Service or Dealers

For an Automobile Service or Dealers Operation

ACORD 125 – Applicant Information Section

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The ACORD 125 form is your foundation document. You enter all your basic insured information in the ACORD 125. Information includes name, address, business description and coverages being applied for.

ACORD 128 Garage and Dealers Section

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The ACORD 128 Garage and Dealers application section is where you enter the details about the type of operation to be insured.

The 128 Garage and Dealers form covers Automobile Service or Dealers from a basic gas station to a parking lot to a franchise dealer.

There is room for 8 drivers on the 128. Additional drivers are listed on the ACORD 163 form (see below).

There is no space to list specific vehicles. You list those on the ACORD 129 (see below).

ACORD 163 – Driver Information Section if there are more than 8 drivers

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The ACORD 163 is where you enter the driver information for additional drivers the ACORD 128 Garage and Dealers Automobile Service or Dealers form does not have room for. The ACORD 163 form has room for an additional 24 drivers. Use as many of these forms as you need.

ACORD 129 – Vehicle Schedule

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The ACORD 129 Vehicle Schedule is where you enter additional vehiclesfor an automobile service or dealers operation which the ACORD form 128 did not have enough room. You can enter six additional vehicles per form. USe as many forms as you need.

ACORD 138 for your specific state – Coverages and Limits Section

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Each state has it’s own form 138. You need to go to the “State Specific ACORD Forms” links to find these forms.

Because insurance is regulated on a state by state basis, the ACORD 138 form is where you show what coverages and limits your insured is requesting.

I am showing an image of the North Carolina 138NC form. If you were working with an insured with vehicles titled in Texas you would use the Texas ACORD 138TX, in New York the ACORD 138NY and so on.

ACORD 60US – Terrorism Coverage Rejection

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Use the ACORD 60US if your insured wishes to reject Terrorism Coverage.

ACORD 60 or 61 for state specific Un/Underinsured Motorist selection / Rejection forms.

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Most states require the insured to have the option of specifically waiving parts, or all, of uninsured and underinsured motorist coverages. You should use the form for your specific state to accomplish this.

ACORD 63 – General Fraud Statement.

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You should have your insured sign the General Fraud Statement as a matter of course.

Some states have specific wording for their Fraud Forms. You should use any state specific form that applies instead of the general form.