FAIR Plan ACORD Forms


Connecticut FAIR Plan ACORD Forms

ACORD 66CT – Connecticut FAIR Plan Application for Basic Property & Liability Insurance


Delaware FAIR Plan ACORD Forms

ACORD 64DE – Insurance Placement Facility of Delaware
ACORD 65PA/DE/WV – FAIR Plan Supplementary Questionaire


District of Columbia FAIR Plan ACORD Forms

ACORD 64DC – Application to District of Columbia Property Insurance Facility for Basic Inspection and Insurance Program
ACORD 65DC – Application to District of Columbia Property Insurance Facility for Basic Inspection and Insurance Program


Florida FAIR Plan ACORD Forms

ACORD 68FL – Citizens Property Insurance Corporation, Residential – Dwelling Wind Only
ACORD – 69FL – Citizens Property Insurance Corporation, Wind Only Supplement Residential Application Schedule
ACORD 220FL – Citizens Property Insurance Corporation, Commercial and Commercial-Residential Wind Only Application
ACORD 221FL – Citizens Property Insurance Corporation, Commercial and CCommercial-Residential Application Scehdule


Ilinois FAIR Plan ACORD Forms

ACORD 68IL – Illinois FAIR Plan Association (Part 2 of 2 Parts) Supplemental Application for (1-4 Family) Homeowners & Dwelling Property Insurance
ACORD 69IL – Illinois FAIR Plan Association (Part 1 of 2 Parts) Supplemental Application for (1-4 Family) Homeowners & Dwelling Property Insurance
ACORD 171IL – Illinois FAIR Plan Application for Commercial Property Insurance


Louisiana FAIR Plan ACORD Forms

ACORD 68LA – Louisiana Plan Services Application for Insurance


Maryland FAIR Plan ACORD Forms

ACORD 64MD – Maryland Property Insurance Availability Program
ACORD 65MD – Maryland Property Insurance Availability Program Essential Homeowners Insurance Inspection and Placement
ACORD 66MD – Maryland Property Insurance Availability Program Essential Homeowners Insurance Inspection and Placement


Massachusetts FAIR Plan ACORD Forms

ACORD 60MA – Massachusetts Property Insurance Underwriting Association – Application for Homeowners Insurance Inspection and Placement
ACORD 61MA – Massachusetts Property Insurance Underwriting Association – Inspection Notice, Credit Reporting Notice and Instuctions For Completing Homeowners
ACORD 64MA – Massachusetts Residiential Property Liability Supplement
ACORD 65MA – Massachusetts Property Insurance Underwriting Association – Application for Dwelling Fire Insurance Inspection and Placement
ACORD 66MA – Massachusetts Property Insurance Underwriting Association – Inspection Notice, Credit Reporting Notice and Instructions for Completing Homeowners
ACORD 67MA – Massachusetts Property Insurance Underwriting Association – Application for Commercial Fire Insurance Inspection and Placement
ACORD 68MA – Massachusetts Property Insurance Underwriting Association – Inspection Notice, Credit Reoorting Notice and Instructions for Completing Commercial Fire


Michigan FAIR Plan ACORD Forms

ACORD 64MI – Michigan Basic Property Insurance Association – Insurance Application


Minnesota FAIR Plan ACORD Forms

ACORD 60MN – Minnesota FAIR Plan Condo Unit Owners
ACORD 64MN – Minnesota FAIR Plan Renters Coverage
ACORD 65MN – Minnesota Guaranty Association Notice
ACORD 66MN – Minnesota FAIR Plan Homeowners Application
ACORD 67MN – Minnesota FAIR Plan Dwelling Fire Application
ACORD 68MN – Minnsota FAIR Plan Commercial Fire Application


Missouri FAIR Plan ACORD Forms

ACORD 67MO – Missouri FAIR Plan Insurance Application


New Jersey FAIR Plan ACORD Forms

ACORD 67NJ – New Jersey Insurance Underwriting Insurance Association Dwelling Fire Application
ACORD 68NJ – New Jersey Insurance Underwriting Association – Commercial Fire Application


New York FAIR Plan ACORD Forms

ACORD 62NY – Applicaiton for Dwelling Insurance NYPIUA
ACORD 67NY – Instructions for Completion of Application for Dwelling Insurance NYPIUA
ACORD 70NY – Instructions for Completing Application for Commercial Insurance – NYPIUA
ACORD 177NY – Application for Commercial Insurance – NYPIUA


North Carolina FAIR Plan ACORD Forms

ACORD 62NC – North Carolina Joint Underwriting Association – North Carolina Insurance Underwriting Associatin FAIR and Beach Plan Coverage Instructions


Ohio FAIR Plan ACORD Forms

ACORD 170OH – Ohio FAIR Plan Underwriting Association – Instructions for Completion of Insurance Applications
ACORD 171OH – Ohio FAIR Plan Underwriting Association – Application fot Insurance – Basic Property Application
ACORD 172OH – Ohio FAIR Plan Underwriting Association – Homeowners Supplement
ACORD 173OH – Ohio FAIR Plan Underwriting Association – Dwelling Fire Supplement
ACORD 174OH – Ohio FAIR Plan Underwriting Association – Commercial Supplement
ACORD 175OH – Ohio FAIR Plan Underwriting Association – Farm Supplement
ACORD 176OH – Ohio FAIR Plan Underwriting Association – Rehabilitation Supplement
ACORD 177OH – Ohio FAIR Plan Underwriting Association – Bowling Alley Supplement


Pennsylvania FAIR Plan ACORD Forms

ACORD 64PA – Insurance Placement Facility of Pennsylvania – Basic Property Insurance Application
ACORD 65PA/DE/WV – FAIR Plan Supplementary Questionaire


Rhode Island FAIR Plan ACORD Forms

ACORD 64RI – Rhode Island Joint Reinsurance Association – Application for Homeowners Insurance Inspection and Placement
ACORD 65RI – Rhode Island Joint Reinsurance Association – Inspection Notice, Credit Reporting Notice and instructions for Completing Homeowners Application ACORD
ACORD 66RI – Rhode Island Joint Reinsurance Association – Application for Dwelling Fire Insurance Inspection and Placement
ACORD 67RI – Rhode Island Joint Reinsurance Association – Inspection Notice, Credit Reporting Notice and instructions for Completing Dwelling Fire Application ACORD
ACORD 68RI – Rhode Island Joint Reinsurance Association – Application for Commercial Fire Insurance Inspection and Placement
ACORD 69RI – Rhode Island Joint Reinsurance Association – Inspection Notice, Credit Reporting Notice and instructions for Completing Commercial Fire Application


Texas FAIR Plan ACORD Forms

ACORD 64TX – Texas Windstorm Insurance Association – Application for Windstorm and Hail Innsurance
ACORD 69TX – Texas Special Mobile Home Windstorm and Hail Application – Texas Windstorm Insurance Association


Virginia FAIR Plan ACORD Forms

ACORD 67VA – Virginia Property Insurance Association Application for Insurance


West Virginia FAIR Plan ACORD Forms

ACORD 64WV – West Virginia Essential Property Insurance Association – Basic Property Insurance Application
ACORD 65PA/DE/WV – FAIR Plan Supplementary Questionaire