Recent ACORD Changes


Revised ACORD Forms Eff 01-31-2007

Countrywide

ACORD 2 – Automobile Loss Notice

ACORD 2 – Automobile Loss Notice – 2 set

ACORD 22 – Intermodal Interchange Certificate of Insurance

ACORD 36 – Agent/Broker of Record Change

ACORD 126 Commercial General Liability Section

ACORD 140 – Property Section

ACORD 144 Glass and Sign Supplement

District of Columbia

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

Kansas

ACORD 90KS – Kansas Personal Auto Application

ACORD 137KS – Kansas Commercial Auto Program

ACORD 138KS – Kansas Garage and Dealers

Maryland

ACORD 64MD – Maryland Property Insurance Availability Program, Essential Property Insurance Inspection and Placement

South Carolina

ACORD 97SC – Associated Insurance Plan of South Carolina (AIP) – Private Passenger Application

ACORD 129SC – AIP of South Carolina – Supplemental Vehicle Schedule

ACORD 177SC – AIP of South Carolina – Commercial Application

ACORD 185SC – AIP of South Carolina – Uninsured & UnderinsuredAuto Insurance Coverages Form for Private Passenger Risks

ACORD 186SC – AIP of South Carolina – Uninsured & Underinsured Auto Insurance Coverages Form for Commercial Risks

 

What Are the Changes?

This link – Describe the changes for 01 31 2007 update – will take you to a page which describes the detail of the actual changes to each form.

 

New ACORD Forms Eff 01 22-2007

Nebraska

ACORD 50NE – Nebraska Auto Liability Insurance Identification Card

South Carolina

ACORD 50SC – South Carolina Insurance Identification Card

Revised ACORD Forms

Countrywide

ACORD 83 – Personal Umbrella Application

ACORD 87 – Mobile Lines Package Application – Watercraft Inland Marine Section

Florida

ACORD 134FL – California Auto Supplement

What Are the Changes?

This link – Describe the changes for 01 22 2007 update – will take you to a page which describes the detail of the actual changes to each form.

 

Eff 12 29 2006 Revised ACORD Forms

Countrywide

ACORD 84 – Dwelling Fire Application

ACORD 85 – Mobile Home Application

ACORD 86 – Personal Lines Package Application

California

ACORD 61CA – California Auto Supplement

ACORD 90CA – California Personal Auto Application

ACORD 137CA – California Commercial Auto

ACORD 138CA – California Garage and Dealers

Iowa

ACORD 137IA – Iowa Commercial Auto

ACORD 138IA – Iowa Garage and Dealers

Louisiana

ACORD 69LA – Louisiana Auto Supplement

New Jersey

ACORD 134NJ – New Jersey Workers Compensation Insurance Plan Notice of Election – Proprietors and Partners

North Carolina

ACORD 64NC – North Carolina Property Supplement

 

This link – Describe the changes for 12 29 2006 update – will take you to a page which describes the detail of the actual changes to each form.

 

New Forms – Nov 20th, 2006 ACORD has introduced the following:

Indiana

ACORD 50IN – Indiana Insurance Identification Card

Maine

ACORD 50ME – Maine Motor Vehicle Insurance Identification Card

Revised ACORD Forms

Countrywide

ACORD 1 – Property Loss Notice

ACORD 2 – Automobile Loss Notice

ACORD 3 – General Liability Notice of Occurrence / Claim

ACORD 4 – Workers Compensation – First Report of Injury or Illness

ACORD 75 – Insurance Binder

Louisiana

ACORD 69LA – Louisiana Auto Supplement – Uninsured/Underinsured Motorist Bodily Injury Coverage Form

Georgia

ACORD 90GA – Georgia Personal Auto Application

ACORD 137GA – Georgia Commercial Auto

ACORD 138GA – Georgia Garage and Dealers

1 Withdrawn Form

ACORD 61GA – Georgia Auto Supplement – Uninsured Motorist Coverage

What Are the Changes?

This link – Describe the changes for 11 20 2006 update – will take you to a page which describes the detail of the actual changes to each form.

 

New Forms – Oct 31th, 2006 ACORD has introduced the following:

Idaho

ACORD 50ID – State of Idaho Liability Insurance Identification Card

Illinois

ACORD 50IL – Illinois Insurance Identification Card

Maryland

ACORD 68MD – Maryland Personal Property Supplement – Statement Regarding Flood Insurance

Maryland

ACORD 50IL – Maryland Insurance Supplement – Notice of Underwriting Period

 

Revised ACORD Forms

Countrywide

ACORD 80 – Homeowner Application

California

ACORD 90CA – California Personal Auto Application

ACORD 137CA – California Commercial Auto

ACORD 138CA – California Garage and Dealers

Colorado

ACORD 61CO – Colorado Auto Supplement – Colorado Private Passenger Automobile Insurance

Delaware

ACORD 61DE – Delaware Auto Supplement – Delaware Motorist’s Protection Act

Indiana

ACORD 137IN – Indiana Commercial Auto

ACORD 138IN – Indiana Garage and Dealers

New Jersey

ACORD 61NJ – New Jersey Auto Supplement – N.J. Auto Insurance Buyer’s Guide

ACORD 62NJ – New Jersey Auto Supplement – Basic Policy Coverage Selection Form

ACORD 64NJ – New Jersey Auto Supplement – Standard Policy Coverage Selection Form

South Carolina

ACORD 61SC – South Carolina Auto Supplement – Offer of Additional Uninsured Motorist Coverage and Optional Underinsured Motorist Coverage

 

27 New MGA Forms

Macchia General Agency

  • Farmers and Ranchers Mobile
  • Farmers and Ranchers Homeowners
  • Southern County Mutual Travel Trailer Application
  • Republic Van Guard Mobile Home Application
  • Republic Van Guard Homeowners Application
  • Republic Van Guard HO-B Manufactured Home Application

National Group Insurance

  • Artisan Liability Application
  • Balance Sheet
  • Business Auto Application
  • Commercial Auto Application
  • Commercial Auto Garage Policy Change Request
  • Commercial General Liability Application
  • Commercial Insurance Application
  • Commercial Property Application
  • Crime Application
  • Debit-Credit Worksheet
  • Equipment Floater Section
  • Garage – Garagekeeper Legal Liability Application
  • Garage Supplement Application
  • Glass Sign Supplement Application
  • Habitational Questionnaire
  • Liquor Liability Application
  • Restaurant Supplemental Questionnaire
  • Self Audit Checklist
  • Service Station Application
  • Service Station Supplemental
  • Total Office Protection Program Application

 

4 New User Requested Forms

  • Texas Impact Resistance Form
  • WB194
  • CG-20-10-11-85
  • Workers Comp Additional Locations

1 Withdrawn Form

  • ACORD 62CA – California Auto Supplement – California Pre-Inspection Law

 

New Forms – Oct 3th, 2006 ACORD has introduced the following:

Colorado

ACORD 50CO – Colorado Insurance Identification Card

Connecticut

ACORD 50CT – Connecticut Insurance Identification Card

 

Revised ACORD Forms

Florida

ACORD 90FL – Florida Personal Auto App

ACORD 137FL – Florida Commercial Auto Application

ACORD 138FL – Florida Garage and Dealers Application

 

3 New MGA Forms

CMS Agency

  • Auto Quote Sheet
  • Commercial Quote Request
  • Home Quote Sheet

What Are the Changes?

This link – Describe the changes for 10 03 2006 update – will take you to a page which describes the detail of the actual changes to each form.

New Forms – Sept 6th, 2006 ACORD has introduced the following:

Countrywide

ACORD 823 – Commercial Insurance Application Supplement – Additional Premises Information Section

ACORD 50AL – Alabama Insurance Identification Card

ACORD 50AZ – Arizonia Insurance Identification Card

 

Revised ACORD Forms

Countrywide

ACORD 36 – Agent/Broker of Record Change

ACORD 80 – Homeowner Application

ACORD 82 – Watercraft Application

ACORD 125 – Commercial Insurance Application

ACORD 140 – Property Section

ACORD 160 – Business Owners Application

ACORD 175 – Commercial Policy Change Request

ACORD 330 – Aircraft Section

Delaware

ACORD 64DE – Insurance Placement Facility of Delaware – Basic Property Insurance Application

Connecticut

ACORD 171CT – Coverage Election by Employee Who is an Officer of a Corporation, Manager of an LLC, or Member of a Partnership

ACORD 172CT – Coverage of Election by Employees who are Members of a Partnership

ACORD 173CT – Coverage Election by Sole Proprietor or Single Member LLC

Minnesota

ACORD 90MN – Minnesota Personal Auto Application

ACORD 137MN – Minnesota Commercial Auto

ACORD 138MN – Missesota Garage and Dealers

Pennsylvania

ACORD 64PA – Insurance Placement Facility of Pennsylvania – Basic Property Insurance Application

ACORD 65 PA/DE/WV – FAIR Plan Supplementary Questionaire

West Virginia

ACORD 64WV – Insurance Placement Facility of West Virginia – Basic Property Insurance Application

 

8 New Customer Requested Forms

  • Canada Non Resident Liability Insurance ID
  • DL-123 – Rev406 – Drivers License forms for North Carolina
  • W-9 – Tax Form
  • Personal Financial Statement
  • Operating Statement
  • Rent Roll
  • Authorization to Release Information
  • Document and Information Request

What Are the Changes?

This link – Describe the changes for 9 6 2006 update – will take you to a page which describes the detail of the actual changes to each form.

New Forms – July 28th, 2006 ACORD has introduced the following:

Countrywide

ACORD 825 – Professional / Specialty Insurance Application – for use in Management, Executive & Professional Lines – Applicant Section

Revised ACORD Forms

Countrywide

ACORD 27 – Evidence of Property Insurance

ACORD 28 – Evidence of Commercial Property Insurance

ACORD 83 – Personal Umbrella / Excess Section

ACORD 131 – Umbrella / Excess Section

Delaware

ACORD 90DE – Delaware Personal Auto Application

ACORD 137DE – Delaware Commercial Auto

ACORD 138DE – Delaware Garage and Dealers

South Carolina

ACORD 97SC – Associated Auto Insurers Plan of South Carolina Private Passenger Application

 

12 New Schedules

We have added additional schedules for commercial property applications – forms 140 and 159 plus ACORD form 163 for drivers. This gives you the ability to combine the PDF’s into a single PDF without overwriting the same field name between forms for up to 50 vehicles, 50 drivers and 50 property locations.

 

Company Specific Forms added 8/3/2006

Company Specific Forms

American Reliable

Commercial Equine Liability Application
Farmers and Ranchers Commercial Excess Liability Application
Farm/Ranch Application

Canal

Commercial Motor Vehicle Liability and Physical Damage Application

Century

Contractors Questionnaire
Garage Application
Habitational Supplemental Questionnaire
Liquor Liability Application
Motorcyle Supplemental
Restaurant Supplemental Questionnaire
Recreational Vehicle Supplemental
Special Events Application

Great American

Pleasure Horse Individual Owners Liability
Camp Supplemental Application
Equine Care, Custody, and Control Application
Equine Farm & Ranch Application
Equine Liability
Race Horse Owners Liability – CA
Race Horse Owners Liability – Except CA
Woodburning Stove Questionnaire

Hartford

Animal Mortality Application
Aquaculture Stock Mortality Application
Confined Swine Application
Dairy Cattle Application
Exotic Animal Mortality Application
Feedlot Application
Livestock Market Application
Pasture Cattle Application

ISERA

General Recreation Audit Information Form
General Recreation Discovery Questionnaire
Inflatable Jump Audit Information Form
Inflatables Discovery Questionnaire
Monthly Events Schedule

Lloyds

Corporate Supplemental

Markel

Mortality & Theft Application
Private Horse Owner Application
Substantation of Value
Standard All Risk Mortality & Theft Application

NAS

Supplemental Builders Risk Application
Supplemental Builders Risk Renovation Application

Performance

Avian Flu Business Interruption
Avian Flu Farm Schedule
Avian Flu Application
Farm Pollution Hazard Application
Poultry/Swine Supplemental Questionnaire
Property Program Application

St. Paul – Travelers

Agribusiness Insurance Application
Boat Application
Boat / Yacht Quote Sheet
Care, Custody, and Control Questionnaire
Commercial Equine Liability Application
Equine Liability Renewal Questionnaire
Farm/Ranch Application
Insured’s Statement of Health
Livestock Insurance Application
Older Building Checklist Supplemental Questionnaire
Pleasure Horse Owners Liability Application
Poultry Questionnaire
Winery Supplemental Questionnaire
Yacht Quote / Application

WOGA

Climbing Operations Supplemental Discovery Questionnaire
Equestrian Risk Supplemental Discovery Questionnaire
General Liability Discovery Questionnaire
Guided River Trips Supplemental Discovery Questionnaire
Monthly Events Schedule

What Are the Changes?

This link – Describe the changes for 7 28 2006 update – will take you to a page which describes the detail of the actual changes to each form.




New Forms – June 30th, 2006 ACORD has introduced the following:

Iowa

ACORD 66IA – Iowa Personal Insurance Supple,emt Disclosure Use of Claims History

 

Revised ACORD Forms

Countrywide

ACORD 325 – Aviation Insurance Application – Applicant Information Section

ACORD 331 – Pilot Experience

Connecticut

ACORD 66CT – Connecticut FAIR Plan Homeowners App HO4 Renters Coverage

Illinois

ACORD 62IL – Illinois Property Supplement – Notice of Availability of Earthquake Insurance

Iowa

ACORD 90IA – Iowa Personal Auto Application

Maryland

ACORD 964MD – Maryland Property Insurance Availability Program Essential Property Insurance Inspection and Placement

Minnesota

ACORD 60MN – Minnesota FAIR Plan Homeowners App HO6 Condo Unit Owners Coverage

ACORD 64MN – Minnesota FAIR Plan Homeowners App HO4 Renters

ACORD 66MN – Minnesota FAIR Plan Homeowners HO8 Application

ACORD 67MN – Minnesota FAIR Plan Dwelling Fire Application

ACORD 68MN – Minnesota FAIR Plan Commercial Fire Application

ACORD 69MN – Minnesota FAIR Plan Farm Fire Application

New Jersey

ACORD 132NJ – New Jersey Workers Compensation Insurance Plan Instructions and Rules Company

ACORD 133NJ – New Jersey Workers Compensation Insurance Plan Application for Designation of an Insurance

Washington

ACORD 90WA – Washington Personal Auto Application

ACORD 137WA – Washington Commercial Auto

ACORD 138WA – Washington Garage and Dealers

 

New Forms – May 26th, 2006 ACORD has introduced the following:

California

ACORD 861CA – California Residential Property Insurance Bill of Rights

 

Revised ACORD Forms

Countrywide

ACORD 38 – Notice of Information Practices (Privacy)

ACORD 60 – Flood Insurance Notice / Rejection

ACORD 63 – General Fraud Statement

ACORD 325 – Aviation Insurance Application

Life and Annuity

ACORD 951 – 1035 Exchange / Rollover / Transfer Form

Massachusetts

ACORD 137MA – Massachusetts Commercial Auto

ACORD 138MA – Massachusetts Garage and Dealers

Minnesota

ACORD 60MN – Minnesota FAIR Plan Homeowners App HO6 Condo Unit Owners Coverage

ACORD 64MN – Minnesota FAIR Plan Homeowners App HO4 Renters

ACORD 66MN – Minnesota FAIR Plan Homeowners HO8 Application

ACORD 67MN – Minnesota FAIR Plan Dwelling Fire Application

ACORD 68MN – Minnesota FAIR Plan Commercial Fire Application

ACORD 69MN – Minnesota FAIR Plan Farm Fire Application

New Hampshire

ACORD 90NH – New Hampshire Personal Auto Application

ACORD 137NH – New Hampshire Commercial Auto

ACORD 138NH – New Hampshire Garage and Dealers

West Virginia

ACORD 65WV – West Virginia Personal and Commercial Liability Supplement Uninsured/Underinsured Motor Vehicle Coverage Important Notice

ACORD 137WV – West Virginia Commercial Auto

ACORD 138WV – West Virginia Garage and Dealers

Wyoming

ACORD 90WY – Wyoming Personal Auto Application

ACORD 137WY – Wyoming Commercial Auto

ACORD 138WY – Wyoming Garage and Dealers

 

2 New User Provided Forms

ERM-14 – Confidential Request for Ownership Information

K-WC 113 – Kansas Dept of Labor – Workers Compensation – Election of Individual Partner, Member of a Limited Liability Company, or Self-Employed Individual to Come Within the Provisions of the Kansas Workers Compensation Act.



New Forms – April 28th, 2006 ACORD has introduced the following:

Oklahoma

ACORD 62OK – Oklahoma Property Supplement – Notice to Property Owners in Rural Fire Protection Districts

West Virginia

ACORD 38WV – West Virginia Personal Insurance Supplement Notice of Insurance Information Practices

 

Revised ACORD Forms

Countrywide

ACORD 87 – Personal Lines PAckage Application – Watercraft / Inland Marine Section

ACORD 810 – Business Income / Extra Expense / Rental Value – Supplement to Property Section

ACORD 60US – Insurance Supplement – Notice – Offer of Terrorism Coverage

ACORD 62US – Insurance Supplement – Standard Fire Policy Only Notice – Offer of Terrorism Coverage

ACORD 64US – Insurance Supplement – Workers’ Compensation Only Notice – Terrorism Insurance Coverage

Arizonia

ACORD 90AZ – Arizona Personal Auto Application

ACORD 137AZ – Arizona Commercial Auto

ACORD 138AZ – Arizona Garage and Dealers

California

ACORD 857 – California Earthquake Authority Earthquake Insurance Application

District of Columbia

ACORD 90DC – District of Columbia Personal Auto Application

ACORD 137DC – District of Columbia Commercial Auto

ACORD 138DC – District of Columbia Garage and Dealers

 

5 New User Requested Form

– New York Workers Comp Officer Exclusion

– Additional Premise Information Supplement for Commercial Property

– Additional Insured – Owners, Lessees or Contractors – Scheduled Person or Organization

– Artison Contractors Supplemental Application

– New Jersey Office of the Attorney General – Home Improvement Contractor Application for Initial Registration



New Forms – April 10th, 2006 ACORD has introduced the following:

Countrywide

ACORD 325 – Aviation Insurance Application – Applicant Information Section

ACORD 326 – Airport Property Supplement

ACORD 327 – Airport and FBO Liability Section

ACORD 328 – Private Hanger Liability Section

ACORD 329 – Aviation Products Liability

ACORD 330 – Aircraft Section

ACORD 331 – Pilot Experience

ACORD 332 – Hangar Schedule

Illinois

ACORD 62IL – Illinois Property Supplement Notice of Availability of Earthquake Insurance

Missouri

ACORD 62MO – Missouri Property Supplement Notice of Availability of Earthquake Insurance

Revised ACORD Forms

Countrywide

ACORD 131- Umbrella / Excess Section

Idaho

ACORD 90ID – Idaho Personal Auto Application

Kentucky

ACORD 90KY – Kentucky Personal Auto Application

ACORD 137KY – Kentucky Commercial Auto

New Hampshire

ACORD 90NH – New Hampshire Personal Auto Application

ACORD 137NH – New Hampshire Commercial Auto

ACORD 138KY – New Hampshire Garage and Dealers

New Jersey

ACORD 94NJ – New Jersey Inspection Report

New York

ACORD 62NY – Application for Dwelling Insurance New York Property Insurance Underwriting Association

ACORD 67NY – Application for New York Property Insurance Underwriting Association Instructions for Completing Application for Dwelling Insurance

ACORD 70NY – Application for New York Property Insurance Underwriting Association Instructions for Completing Application for Commercial Insurance

ACORD 177NY – Application for Commercial Insurance New York Property Insurance Underwriting Association

South Carolina

ACORD 90SC – South Carolina Personal auto Application

Withdrawn ACORD Forms

Countrywide

ACORD 351 – NAIC Uniform Application for Individual Non-resident License

ACORD 352 – NAIC Uniform Applicaiton for Business Entity Non-Resident License/Registration

New Hampshire

ACORD 38NH – New Hampshire Notice of Information Practices

ACORD 62NH – New Hampshire Statement of Residency Including Applicable Exemptions

5 New User Requested Form

– New York Workers Comp Officer Exclusion

– Additional Premise Information Supplement for Commercial Property

– Additional Insured – Owners, Lessees or Contractors – Scheduled Person or Organization

– Artison Contractors Supplemental Application

– New Jersey Office of the Attorney General – Home Improvement Contractor Application for Initial Registration



New Forms – March 7th, 2006 ACORD has introduced the following:

Countrywide

ACORD 22 – Intermodal Interchange Certificate of Insurance

ACORD 812 – Agency Questionaire

Minnesota

ACORD 69MN – Minnesota FAIR Plan – Farm Fire Application

Revised ACORD Forms

Countrywide

ACORD 1 – Property Loss Notice

ACORD 2 – Automobile Loss Notice

ACORD 3 – General Liability Notice of Occurrence / Claim

ACORD 74 – Residence Based Business Supplement to Personal Property Applications

ACORD 82 – Watercraft Application

ACORD 83 – Personal Umbrella Application

Massachusetts

ACORD 90MA – Application for Massachusetts Motor Vehicle Insurance

ACORD 95MA – Massachusetts Renewal Form

Minnesota

ACORD 60MN – Minnesota FAIR Plan – Homeowners Application HO 6 Condo Unit Owners Coverage

ACORD 66MN – Minnesota FAIR Plan – Homeowners HO 8 Application

ACORD 67MN – Minnesota FAIR Plan – Dwelling Fire Application

New Mexico

ACORD 90NM – New Mexico Personal Auto Application

Customer Requested Forms

The old ACORD 127 – Commercial Auto Supplement from 1994

New Agency Invoice in the General Business Forms Section



New Forms – February 6th, 2006 ACORD has introduced the following:

Countrywide

ACORD 822 – Personal Auto Application Supplement – Driver Work / School Address Information

Revised ACORD Forms

Countrywide

ACORD 67 – Mine Subsidence Illinois / Indiana / Kentucky / West Virginia

Arkansas

ACORD 90AR – Arkansas Personal Auto Application

Colorado

ACORD 171CO – Rejection of Coverage by Corporate Officers or Members of a Limited Liability Company

Missouri

ACORD 67MO – Missouri Property Insurance Placement Facility Application for Dwelling – Commercial- Farm

South Carolina

ACORD 179SC – Associated Auto Insurers Plan of South Carolina Garage Application

West Virginia

ACORD 90WV – West Virginia Personal Auto Application

Withdrawn ACORD Forms

Countrywide

ACORD 66US – Insurance Supplement Commercial Auto Only Notice Offer of Terrorism Coverage

5 New Florida Workers Comp JUA Forms

Under the Florida State Specific Forms folder , even though they are not ACORD forms, we have added the following due to an agent asking for them….

  • Applicant Affidavit
  • Employer Affidavit
  • Contractors Supplemental
  • Acknowledgement
  • Wage Information

If you have forms you would like us to add, just let us know.



New Forms – January 4th, 2006 ACORD has introduced the following:

Delaware

ACORD 171DE – Delaware Executive Officers Exclusion

New Jersey

ACORD 136NJ – New Jersey Workers Compensation Insurance plan – Truckers Application Supplement

 

New Forms – November 25th, 2005 ACORD has introduced the following:

North Carolina

ACORD 135NC – North Carolina Workers Compensation Insurance Plan – Application for Designation of an Insurance Company

ACORD 135NC – North Carolina Workers Compensation Insurance Plan – Instructions for Completing ACORD 135NC Application

Oregon

ACORD 62OR – Oregon Personal Lines Supplement – Notice of Use of Loss History Report – Home Insurance

Rhode Island

ACORD 62RI – Rhode Island Property Supplement – Notice of Flood Coverage Exclusion

Life Insurance Forms

ACORD 702PA – Pennsylvania Life Insurance Application – Part 2 Medical History

ACORD 751NY – New York Authorization to Obtain and Disclose Information

ACORD 753NY – New York Notice of Insurance Information Practices (Pre Notice)

ACORD 757NY – New York HIV Antibody/Antigen Consent and Testing Form

Revised Forms – November 23th, 2005 ACORD has updated the following:

California Changes

ACORD 137CA – California Commercial Auto

ACORD 138CA – California Garage and Dealers

Colorado Changes

ACORD 61CO – Colorado Auto Supplement – Colorado Private Passenger Automobile Insurance Disclosure

ACORD 137CO – Colorado Commercial Auto

ACORD 138CO – Colorado Garage and Dealers

ACORD 177CO – Rejection of Coverage by Corporate Officers or Members of a Limited Liability Company

Connecticut Changes

ACORD 90CT – Connecticut Personal Auto

ACORD 138CT – Connecticut Commercial Auto

ACORD 138CO – Connecticut Garage and Dealers

District of Columbia Changes

ACORD 66DC – District of Columbia Property Insurance Facility Essential Homeowners Inspection and Placement

ACORD 67DC – District of Columbia Property Insurance Facility Essential Homeowners Inspection and Placement Application to Distrcit of Columbia Property Insurance Facility

Kansas Changes

ACORD 171KS – Kansas Election of Individual, Partner, Member of a Limited Liability Company or Self-Employed Individual

ACORD 172KS – Kansas Cancellation of Election of Individual, Partner, Member of a Limited Liability Company or Self-Employed Individual

ACORD 173KS – Kansas Cancellation of Election Not to Accept Coverage

ACORD 174KS – Kansas Election Not to Accept Coverage

ACORD 176KS – Kansas Election of Employer to Cover Employees

ACORD 177KS – Kansas Election of Coverage for Volunteer Workers

ACORD 178KS – Kansas Cancellation of Employer to Cover Employees

ACORD 179KS – Kansas Cancellation of Election of Coverage for Volunteer Workers

ACORD 180 – Kansas Election of Coverage for Persons Performing Public Service

ACORD 181KS – Kansas Cancellation of Election of Coverage for Persons Performing Public Service

Kentucky Changes

ACORD 50KY – Commonwealth of Kentucky Proof of Insurance

Louisiana Changes

ACORD 90LA – Louisiana Personal Auto Application

ACORD 137LA – Louisiana Commercial Auto

ACORD 137LA – Louisiana Garage and Dealers

Maryland Changes

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

ACORD 66MD – Maryland Property Insurance Availability Program Essential Homeowners Inspection and Placement Application to Joint Insurance Association

Mississippi Changes

ACORD 61MS – Mississippi Auto Supplement – Non-Stacking Uninsured Motorist Insurance

New Jersey Changes

ACORD 133NJ – New Jersey Workers Compensation Insurance Plan – Application for Designation of an Insurance Company

Ohio Changes

ACORD 67OH – Ohio Mine Subsidence Homeowner and Dwelling Supplement Application

ACORD 68OH – Ohio Offer of Mine Subsidence Insurance Coverage – Homeowners and Dwelling Supplement

Washington Changes

ACORD 90WA – Washington Personal Auto Application

ACORD 137WA – Washington Commercial Auto

ACORD 138WA – Washington Garage and Dealers

 

October 20th, 2005 ACORD has updated the following forms:

Countrywide Changes

ACORD 80 – Homeowner Application

ACORD 81 – Personal Inland Marine Application

ACORD 84 – Dwelling Fire Application

ACORD 85 – Mobile Home Application

ACORD 86 – Personal Lines Package Application

ACORD 126 – Commercial General Liability Section

ACORD 130 – Workers Compensation Application

Tennessee Changes

ACORD 133TN – Tennessee Workers Compensation Insurance Plan – Assigned Risk Supplement

Wisconsin Changes

ACORD 133WI – Wisconsin workers Compensation Insurance Pool

 

October 20th, 2005 ACORD has introduced the following form:

Rhode Island

ACORD 50RI – Rhode Island Insurance Identification Card

 

What Are the Changes?

This link – Describe the changes for 10 20 2005 update – will take you to a page which describes the detail of the actual changes to each form.



October 4 th, 2005 ACORD has updated the following forms:

Minnesota Changes

ACORD 38MN- Minnesota Authorization

Montana Changes

ACORD 90MT – Montana Personal Auto Application

 

October 4 th, 2005 ACORD has introduced the following form:

Life Forms – New

ACORD 771 – Laboratory Identification Form

October 4 th, 2005 ACORD has withdrawn the following forms:

ACORD 38AR – Arkansas Notice of Information Practices

ACORD 38MT – Montana Notice of Information Practices

This link – Describe the changes for 10 4 2005 update – will take you to a page which describes the detail of the actual changes to each form.



August 30th , 2005 ACORD has updated the following forms:

 

Alaska Changes

ACORD 90AK – Alaska Personal Auto Application

ACORD 137AK – Alaska Commercial Auto Application

ACORD 138AK – Alaska Garage and Dealers Application

California Changes

ACORD 90CA – California Personal Auto Application

Colorado Changes

ACORD 90CO – Colorado Personal Auto Application

Maine Changes

ACORD 90ME – Maine Personal Auto Application

New Hampshire Changes

ACORD 90NH – New Hampshire Personal Auto Application

New Jersey Changes

ACORD 961NJ – New Jersey Auto Supplement – NJ Auto Insurers Buyers Guide

 

See changes details for 8 30 2005 update.



July 28th, 2005 ACORD has updated the following forms:


Countrywide Correction

ACORD 185 – Restaurant and Tavern Supplement

ACORD 951 – 1035 Exchange / Rollover / Transfer Form

Pennsylvania Changes

ACORD 61PA – Pennsylvania Auto Supplement – Important Notice

See changes details for 7 28 2005 update.

 

June 16th, 2005 ACORD has updated the following forms:


Countrywide Changes

1 – Property Loss Notice

2 – Automobile Loss Notice

3 – General Liability Loss Notice

125 – Commercial Insurance Application

 

Illinois Changes

68IL – Illinois FAIR Plan Homeowmer and Dwelling Fire Part 1

69IL – Illinois FAIR Plan Homeowmer and Dwelling Fire Part 2

171IL – Illinois FAIR Plan Commercial Property

Minnesota Changes

65MN – Minnesota Guaranty Association Notice

North Dakota Changes

38ND – Notice of Information Practices

90ND – Personal Auto Application

New Jersey Changes

60NJ – New Jersey Temporary State of New Jersey Identification Card

Pennsylvannia Changes

137PA – Commercial Auto Application

What Are the Changes?

This link – Describe the Changes – will take you to a page which describes the detail of the actual changes to each form.

 

June 16th, 2005 ACORD has introduced the following new forms:

Countrywide Forms

815 – International Liability Exposure Supplement

816 – International Property Exposure Supplement

Louisiana

861LA – Auto Supplement – Active Military Personnel Adfivatt

New Jersey

50NJ Set – A set of State fo New Jersey Identification Cards on one page

West Virginia

862WV – Notice of Flood Coverae Exclusion

 

June 16th, 2005 ACORD has withdrawn the following forms:

Countywide

18 – Jewelry Appraisal and Claim Evaluation

78 – Jewelry Appraisal – Single Item

79 – Jewelry Appraisal

154 – Jeweler’s Inventory Recordkeeping Inventory Card

805 – Jewelry Sales Receipt for Insurance Purposes

Tennessee

171 – Notice Not To Elect

172 – Revocation of Exemption

173 – Withdrawal of Sole Proprietor or Partner Election

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April 15th, 2005 ACORD has updated the following forms:


Countrywide Changes

301 – Flood Insurance Application

302 – Flood Insurance General Change Endorsement

303 – Flood Insurance Preferred Risk Policy Application

304 – Flood Insurance Cancellation / Nullification Form

 

Massachusetts Changes

137MA – Massachusetts Commercial Auto

Missouri Changes

137MO – Missouri Commercial Auto

 

What Are the Changes?

This link – Describe the Changes – will take you to a page which describes the detail of the actual changes to each form.

March 18th, 2005 ACORD has updated the following forms:


Countrywide Changes

1 – Property Loss Notice

2 – Automobile Loss Notice

3 – General Liability Notice of Occurrence / Claim

4 – Workers Compensation – First Report of Injury or Illness

71 – Personal Auto Policy Change Request

83 – Personal Umbrella Application

California Changes

67CA – California Residential Property Disclosure

Kansas Changes

90KS – Kansas Personal Auto Application

Massachusetts Changes

90MA – Application for Massachusetts Motor Vehicle Insurance

New York Changes

90NY – New York Personal Auto Application

Ohio Changes

67OH – Ohio Mine Subsidence – Homeowners and Dwelling Supplement

68OH – Ohio Offer of Minie Subsidence Insurance Coverage – Homeowners and Dwelling Supplement

Life / Annuity Forms Changes

951 – 1035 Exchange / Rollover / Transfer Form

 

NEW ACORD Forms

Countrywide

813 – Request for Proof of Property Insurance

Kansas

38KS – Kansas Personal Insurance Supplement – Notice of Insurance Information Practices

New York

38NY – New York Personal Insurance Supplement – Notice of Insurance Information Practices

 

Withrawn ACORD Forms

Colorado

38CO – Colorado Notice of Information Practices (Privacy)

Missouri

38MO – Missouri Notice of Information Practices (Privacy)

 

What Are the Changes?

This link – Describe the Changes – will take you to a page which describes the detail of the actual changes to each form.

March 1, 2005 Changes


Minnesota Changes

60MN – Minnesota FAIR Plan Homeowners Application – HO6 Condo Unit Owners Coverage – deleted $250 Ded

64MN – Minnesota FAIR Plan Homeowners Application – HO4 Renters Coverage – deleted $250 Ded

66MN – Minnesota FAIR Plan Homeowners Application – HO8 – deleted $250 Ded

67MN – Minnesota FAIR Plan Dwelling Fire Application – deleted $250 Ded. Add a $550. ded

68MN – Minnesota FAIR Plan Commercial Fire Application – – deleted $500 Ded



PodCast for the March 1, 2005 update.

Feb 24 2005

  • 1 Revised ACORD Form -the ACORD 951
  • 21 New Pages of instructions telling you how to fill out specific forms and what each filed in the form is asking for.



Podcast Link of Download mp3

Recent ACORD changes Effective 2 14 2005:

Revised Forms

Massachusetts

65MA – Massachusetts Property Insurance Underwriting Association – Application for Dwelling Fire Insurance Inspection and Placement

66MA – Massachusetts Property Insurance Underwriting Association – Inspection Notice Credit Reporting Notice and Instructions for Completing Dwelling Fire Application ACORD 65MA

Recent ACORD changes Effective 2 11 2005:

New Forms

South Carolina

64SC – South Carolina Personal Property Supplement – Cancellation Rules Disclosure

Recent ACORD changes Effective 2 7 2005:

Countrywide Changes

140 – Property Section


Hawaii Changes

60HI – Hawaii Auto Supplement Coverage Section
90HI – Hawaii Personal Auto Application
137HI – Hawaii Commercial Auto
138HI – Hawaii Garage and Dealers

Iowa Changes

90IA – Iowa Personal Auto Application

Life/Annuity Forms

951 – 1035 Exchange / Rollover / Transfer Form

Michigan Changes

171MI – Michigan Application for Exclusion of Executive Officers of a Corporation or Members / Managers of a Limited Liability Company

New Mexico Changes

90NM – New Mexico Personal Auto Application
137NM – New Mexico Commercial Auto
138NM – New Mexico Garage and Dealers


North Carolina Changes

61NC – North Carolina Auto Supplement – Selection/Rejection UM Coverage

Oklahoma Changes

60OK – Oklahoma Auto Supplement – Oklahoma Uninsured Motorist Coverage Law

Virginia Changes

64VA – Virginia Property Supplement Notice of Flood Coverage Exclusion

New ACORD Forms


Countrywide New Forms

810 – Business Income / Extra Expense / Rental Value Supplement to Property Section
811 – Value Reporting Information

Supplement to Property Section

New Mexico New Form

61NM – New Mexico Auto Supplement – UM Coverage Selection / Rejection and Rejecction of Stacked UM Coverage

New Pages explaining which ACORD forms to use to put together a commercial application.

We are often asked which forms get used together or for applying for certain coverages.

I have looked all over the Internet and I realize no one has addressed this basic question. And it can be bewildering to find all the forms that you need to complete for an application.

We have put together some new pages to help with this. They will make an excellent reference for everyone and a great teaching aid for the beginners.

You can find them at…

Which ACORD Forms to Use

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