Monday, January 5, 2009 

     
 

Acord Forms

To view forms, click on the application name or the form number. Click the back button on your browser to return to applications page.

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Commercial Lines |  Commercial Property |  Commercial Inland Marine
Commercial Auto |  Commercial Umbrella |  Policy Service / Other |  Claims

Form Description Form Number

 Commercial Lines 

Commercial Insurance Application 125
Fraud Statement 63
Additional Interest 45
General Liability Application 126-S
Contractor Supplemental Application 186
Restaurant/Bar/Tavern Supplemental Application 185
Certificate of Liability 25-S
 

 Commercial Property 

Commercial Insurance Application 125
Fraud Statement 63
Additional Interest 45
Property Section Application 140
Supplemental Property Application 190
Statement/Schedule of Values 139
Accounts Receivable/Valuable Papers Application 145
Crime Section Application 141
Glass and Sign Supplemental Application 144
Miscellaneous Crime Coverage Section Application 151
Certificate Property 24
 

 Commercial Inland Marine 

Commercial Insurance Application 125
Fraud Statement 63
Additional Interest 45
Equipment Floater Application 146
Installation/Builders Risk Section Application 147
Electronic Data Processing Section Application 148
 

 Commercial Auto 

Commercial Insurance Application 125
Fraud Statement 63
Additional Interest 45
 

 Commercial Umbrella 

Commercial Insurance Application 125
Fraud Statement 63
Additional Interest 45
Umbrella Section Application 131
 

 Policy Service / Other 

Cancellation Request / Policy Release 35
Statement of No Loss 37
Insurance Binder 75-S
Policy Change Request 175
Statement of Premium Adjustment 226
 

 Claims 

General Liability Notice of Occurrence 3
Property Loss Notice 1
Automobile Loss Notice 2
Auto Accident Information Form 11