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Insurance Form References

Understand insurance applications, certificates, and endorsements. Selected pages include original reference sheets.

98 form references

Insurance BasicsACORD 101Additional Remarks ScheduleLearn how ACORD 101 carries additional remarks tied to another ACORD form, why clear cross-references matter, and what this schedule does not change itself.Insurance BasicsACORD 125Commercial Insurance ApplicationWhat the ACORD 125 commercial insurance application collects, how underwriters use it, and why the answers on it legally bind the business that signs.General LiabilityACORD 126Commercial General Liability SectionWhat the ACORD 126 general liability application section asks, how classifications and exposures set CGL premium, and why the subcontractor answers matter.Commercial AutoACORD 127Business Auto SectionLearn what ACORD 127 collects for business auto insurance, how it works with vehicle and driver schedules, and why it is not proof of bound coverage today.Commercial AutoACORD 128Garage and Dealers SectionLearn what ACORD 128 collects from auto dealers, repair shops, service stations, parking operations, and what garage business owners should verify carefully.Commercial AutoACORD 129Vehicle ScheduleLearn how ACORD 129 lists commercial vehicles, which identifiers and uses to verify, and why the schedule must be read with the application and policy.Workers CompensationACORD 130Workers Compensation ApplicationWhat the ACORD 130 workers compensation application asks, how class codes and payroll estimates set premium, and how officer elections and the mod work.General LiabilityACORD 131Umbrella / Excess SectionLearn what ACORD 131 collects for a commercial umbrella or excess application, including underlying policies, limits, locations, vehicles, and exposures.Workers CompensationACORD 133Workers Compensation Insurance Plan - Assigned Risk SectionLearn when ACORD 133 accompanies a workers compensation assigned-risk application and what employers should verify before submission.Workers CompensationACORD 135State-Specific Workers Compensation Plan FormACORD 135 is not one countrywide form. Learn how ACORD 135 NC and ACORD 135 NJ serve different workers compensation plan purposes.Commercial AutoACORD 137Commercial Auto Coverages / Limits SectionLearn how ACORD 137 records state-specific commercial auto coverage requests, symbols, limits, and deductibles without proving coverage is bound by itself.Commercial AutoACORD 138State Garage and Dealers SectionLearn why ACORD 138 requires a state suffix, how it supplements garage and dealer applications, and what to verify before submission.Commercial PropertyACORD 139Statement of ValuesLearn how ACORD 139 organizes property values for blanket or average rating, which valuation details matter, and why it does not replace the application.Commercial PropertyACORD 140Property SectionWhat the ACORD 140 property section of the commercial application collects, how COPE data drives property underwriting, and how valuation elections work.Commercial PropertyACORD 141Crime SectionLearn how ACORD 141 presents requested crime coverage, employee and asset exposures, financial controls, premises security, limits, and deductibles clearly.Inland MarineACORD 143Transportation SectionLearn what ACORD 143 collects about cargo, routes, vehicles, drivers, and motor truck cargo liability, and how to review a transport submission for accuracy.Commercial PropertyACORD 146Equipment Floater SectionLearn what ACORD 146 collects for an equipment floater application, including equipment values, locations, storage, operations, and additional interests.Inland MarineACORD 147Installation / Builders Risk SectionLearn what ACORD 147 collects for installation and builders risk submissions, including values, transit, temporary storage, rigging, and jobsite details.Inland MarineACORD 152Commercial Inland Marine SectionLearn what ACORD 152 collects for commercial inland marine insurance, how schedules and valuations matter, and why the form does not bind coverage by itself.Insurance BasicsACORD 160Business Owners SectionLearn what ACORD 160 collects for a business owners policy, including locations, property, liability exposures, and requested options before submission.Commercial AutoACORD 163Commercial Auto Driver Information ScheduleLearn when ACORD 163 is used, what driver information it organizes, and how to review a commercial auto driver schedule accurately.Insurance BasicsACORD 175Commercial Policy Change RequestLearn how ACORD 175 requests a commercial policy change, which effective details to verify, and why the request is not proof of an issued endorsement.General LiabilityACORD 211Schedule of HazardsLearn how ACORD 211 extends a liability hazard schedule with class codes, exposure bases, locations, rates, premiums, and what an owner should verify.Commercial PropertyACORD 23Vehicle or Equipment Certificate of InsuranceLearn what ACORD 23 reports about vehicle or equipment insurance, what certificate holders should verify, and why it does not change the policy in any way.Commercial PropertyACORD 24Certificate of Property InsuranceLearn what an ACORD 24 certificate of property insurance shows, who uses it, how it differs from evidence forms, and why the policy still controls coverage.General LiabilityACORD 25Certificate of Liability InsuranceWhat the ACORD 25 certificate of liability insurance shows, why it confers no rights on the holder, and how to read the operations and certificate holder boxes.Insurance BasicsACORD 26Policy Certification LogLearn how the ACORD 26 Policy Certification Log tracks certificates and evidence issued for one insured, and why the log is not proof of coverage.Commercial PropertyACORD 27Evidence of Property InsuranceWhat the ACORD 27 evidence of property insurance form does, how evidence differs from a certificate, and when lenders and lessors request this evidence form.Commercial PropertyACORD 28Evidence of Commercial Property InsuranceWhat the ACORD 28 evidence of commercial property insurance form covers, why commercial lenders demand it over ACORD 25, and how mortgagee interests work.Commercial PropertyACORD 29Evidence of Flood InsuranceLearn what ACORD 29 shows about flood insurance, how to review primary and excess policies, and why the evidence form does not change coverage.Commercial AutoACORD 30Certificate of Garage InsuranceLearn what ACORD 30 reports for garage operations, how garage liability differs from garagekeepers coverage, and why the policy still controls in all cases.Inland MarineACORD 31Certificate of Marine / Energy InsuranceLearn what ACORD 31 summarizes for marine and energy insurance, how its coverage schedule works, and why the certificate does not amend the policy.Insurance BasicsACORD 35Cancellation Request / Policy ReleaseLearn what ACORD 35 requests, why a signed cancellation request does not end coverage by itself, and how timing, refunds, and replacement insurance work.Insurance BasicsACORD 36Agent/Broker of Record ChangeLearn how ACORD 36 requests an agent or broker of record change, what stays unchanged, and why carrier acceptance and effective timing still matter in writing.Insurance BasicsACORD 37Statement of No LossLearn what ACORD 37 asks you to certify after a coverage lapse, why accuracy matters, and why the form is not proof that insurance was reinstated in writing.Insurance BasicsACORD 45Additional InterestLearn how ACORD 45 lists additional interests on commercial insurance applications, why the schedule grants no policy rights, and when an endorsement matters.Personal AutoACORD 50Insurance Identification CardLearn what ACORD 50 shows as auto insurance identification, why state-specific versions matter, and what to check carefully before keeping it with a vehicle.Insurance BasicsACORD 611Claims History / Loss Run RequestLearn what ACORD 611 authorizes, which policies and years to identify, and how to follow up on a claims history or loss run request.Insurance BasicsACORD 63General Fraud StatementLearn what the ACORD 63 General Fraud Statement does, why the notice varies by state, and what a signature does and does not prove before you sign it.Insurance BasicsACORD 68Electronic Delivery SupplementLearn how the countrywide ACORD 68 records electronic-delivery choices and why a state suffix can identify a completely different form.HomeownersACORD 70Personal Policy Change Request (Except Auto)Learn how ACORD 70 requests changes to personal insurance other than auto, what information to include, and when a request becomes effective.Insurance BasicsACORD 75Insurance BinderLearn what an ACORD 75 insurance binder documents, how temporary coverage differs from a policy, and which dates, limits, and authority to verify in detail.HomeownersACORD 80Homeowner ApplicationLearn what ACORD 80 collects for a homeowners insurance application, how to review property details and limits, and why it is not proof of coverage today.Inland MarineACORD 81Personal Inland Marine ApplicationLearn how ACORD 81 schedules jewelry, fine art, collectibles, equipment, and other valuable property, and what applicants should verify before signing.Commercial PropertyACORD 810Business Income / Extra Expense / Rental ValueLearn what ACORD 810 collects for business income, extra expense, and rental value coverage, including payroll, dependent properties, and restoration periods.General LiabilityACORD 815International Liability Exposure SupplementLearn when ACORD 815 supports a commercial liability application and how to organize foreign operations, payroll, and loss information.Commercial PropertyACORD 823Additional Premises Information ScheduleLearn how ACORD 823 continues commercial premises details from ACORD 125, what to verify for each location, and why every site needs separate review now.General LiabilityACORD 83Personal Umbrella ApplicationLearn how ACORD 83 organizes umbrella limits, underlying home and auto policies, drivers, properties, watercraft, and other personal liability exposures.HomeownersACORD 84Dwelling Fire ApplicationLearn what ACORD 84 collects about a dwelling's use, construction, condition, values, requested limits, deductibles, optional coverage, and loss history.ConstructionACORD 855 NYNew York Construction Certificate of Liability Insurance AddendumLearn when ACORD 855 NY accompanies a construction liability certificate, what it records, and why the addendum does not create or expand coverage on its own.Personal AutoACORD 90Personal Auto Application (state-specific)Learn why ACORD 90 personal auto applications are state specific, what driver, vehicle, use, loss, and coverage details applicants should verify carefully.Commercial AutoCA 00 01Business Auto Coverage FormWhat the CA 00 01 Business Auto Coverage Form covers, how covered auto symbols 1 through 9 and 19 work, and why symbol choice decides your protection.Commercial AutoCA 20 01Lessor: Additional Insured and Loss PayeeLearn how CA 20 01 protects a scheduled vehicle lessor for liability and physical damage, when it applies, and what a business should verify before a lease.Commercial AutoCA 20 20Emergency Services — Volunteer Firefighters' and Workers' Injuries — ExclusionLearn what the CA 20 20 commercial auto endorsement addresses and why emergency-services organizations must verify its edition and policy context.Commercial AutoCA 20 48Designated Insured for Covered Autos Liability CoverageLearn what CA 20 48 confirms for a designated person or organization under auto liability and why it neither broadens insured status nor changes limits.Commercial AutoCA 99 48Pollution Liability - Broadened Coverage for Covered Autos - Business Auto and Motor Carrier Coverage FormsLearn how CA 99 48 broadens commercial auto pollution liability after a covered vehicle accident, which cleanup costs may apply, and what remains excluded.General LiabilityCG 00 01Commercial General Liability Coverage FormWhat the CG 00 01 Commercial General Liability Coverage Form covers, how its three coverage parts work, and who automatically counts as an insured under it.General LiabilityCG 04 37Loss of Electronic Data Resulting from Physical Injury to Tangible Property Liability Coverage - Subject to Cyber Incident ExclusionLearn when CG 04 37 can cover electronic data loss caused by physical injury to tangible property, which limit applies, and why it is not cyber insurance.General LiabilityCG 20 01Primary and Noncontributory: Other Insurance ConditionWhat the CG 20 01 primary and noncontributory endorsement does, how it changes the other insurance condition, and when construction contracts demand it.General LiabilityCG 20 10Additional Insured: Owners, Lessees or Contractors (Scheduled Person or Organization)What the CG 20 10 additional insured endorsement does, why upstream parties demand it on construction contracts, and how its editions differ.General LiabilityCG 20 11Additional Insured: Managers or Lessors of PremisesLearn how CG 20 11 adds a landlord or property manager to a tenant's CGL policy, what premises claims it covers, and why the edition matters for lease reviews.General LiabilityCG 20 12Additional Insured: State or Governmental Agency or Subdivision or Political Subdivision: Permits or AuthorizationsLearn how CG 20 12 covers a government entity that issues your permit, which operations qualify, what the form excludes, and what proof to send correctly.General LiabilityCG 20 15Additional Insured: VendorsLearn how CG 20 15 protects a scheduled vendor for claims tied to the named insured's products, which vendor activities are excluded, and what to verify.General LiabilityCG 20 18Additional Insured: Mortgagee, Assignee or ReceiverLearn how CG 20 18 gives a scheduled mortgagee, assignee or receiver limited premises-related status, its construction exclusion, and the key items to check.General LiabilityCG 20 24Additional Insured: Owners or Other Interests from Whom Land Has Been LeasedLearn how CG 20 24 protects a scheduled owner or other interest that leased land to the named insured, when coverage ends, and which work is excluded.General LiabilityCG 20 26Additional Insured: Designated Person or OrganizationWhat the CG 20 26 additional insured endorsement does, when it fits better than CG 20 10, and why municipalities, venues, and event sponsors request it.General LiabilityCG 20 28Additional Insured: Lessor of Leased EquipmentLearn how CG 20 28 gives a scheduled equipment lessor limited additional insured status, when that status ends, and why property coverage is separate.General LiabilityCG 20 32Additional Insured: Engineers, Architects or Surveyors Not Engaged by the Named InsuredLearn how CG 20 32 covers scheduled architects, engineers or surveyors not engaged by the named insured, and why professional services remain excluded.General LiabilityCG 20 33Additional Insured: Owners, Lessees or Contractors: Automatic Status When Required in a Written Construction Agreement With YouLearn how CG 20 33 grants automatic additional insured status under a written construction agreement, when coverage ends, and what gaps remain in practice.General LiabilityCG 20 37Additional Insured: Owners, Lessees or Contractors, Completed OperationsWhat the CG 20 37 completed operations additional insured endorsement covers, why contracts pair it with CG 20 10, and how long you must keep it in force.General LiabilityCG 20 38Additional Insured: Owners, Lessees or Contractors: Automatic Status for Other Parties When Required in Written Construction AgreementLearn how CG 20 38 reaches direct and upstream parties required by a written construction agreement, when status ends, and which gaps remain in practice.General LiabilityCG 20 39Additional Insured: Owners, Lessees or Contractors: Automatic Status When Required in Written Construction Agreement with You: Completed OperationsLearn how CG 20 39 automatically grants completed operations status to a direct contracting party, its written-agreement trigger, limits, and key gaps.General LiabilityCG 20 40Additional Insured: Owners, Lessees or Contractors: Automatic Status for Other Parties When Required in Written Construction Agreement: Completed OperationsLearn how CG 20 40 automatically covers direct and upstream parties for completed operations, what triggers status, and which important limitations remain.General LiabilityCG 21 39Contractual Liability LimitationLearn how CG 21 39 narrows contractual liability coverage, which insured contracts remain, and why contractors should review indemnity obligations now.General LiabilityCG 21 44Limitation of Coverage to Designated Premises, Project or OperationLearn how CG 21 44 limits liability coverage to scheduled premises, projects, or operations and why the edition and completed schedule both matter today.General LiabilityCG 21 53Exclusion - Designated Ongoing OperationsLearn how CG 21 53 excludes injury or damage from scheduled ongoing operations, how location wording changes its reach, and what owners should review.General LiabilityCG 21 65Total Pollution Exclusion With a Building Heating, Cooling and Dehumidifying Equipment Exception and a Hostile Fire ExceptionLearn how CG 21 65 broadly excludes pollution liability while retaining narrow exceptions for building equipment emissions and certain hostile fires now.General LiabilityCG 22 79Exclusion - Contractors - Professional LiabilityLearn what CG 22 79 excludes from a contractor's CGL policy, how it treats hired design professionals, and what its construction-methods exception preserves.General LiabilityCG 22 80Limited Exclusion - Contractors - Professional LiabilityLearn how CG 22 80 excludes a contractor's professional services while preserving construction operations and how it differs from the broader CG 22 79.General LiabilityCG 22 92Snow Plow Operations CoverageLearn how CG 22 92 addresses completed snow plow operations under a CGL policy, what the auto policy covers, and which limits and exclusions remain in a claim.General LiabilityCG 22 94Exclusion - Damage to Work Performed by Subcontractors on Your BehalfLearn how CG 22 94 removes the subcontractor exception from the CGL damage to your work exclusion and why contractors should review it at renewal today.General LiabilityCG 24 04Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation)Learn how CG 24 04 waives an insurer's recovery rights after a covered loss, whose interests it protects, and what it does not change about insured status.General LiabilityCG 24 17Contractual Liability: RailroadsLearn how CG 24 17 changes insured-contract treatment for a scheduled railroad and job site, what it does not replace, and what to verify before work begins.General LiabilityCG 24 26Amendment of Insured Contract DefinitionLearn how CG 24 26 narrows contractual liability under a CGL policy, what the causation and legality tests mean, and what businesses should review today.General LiabilityCG 25 03Designated Construction Project(s) General Aggregate LimitLearn how CG 25 03 creates a separate general aggregate for designated construction projects and what it does not change for completed operations on claims.General LiabilityCG 25 04Designated Location(s) General Aggregate LimitLearn how CG 25 04 applies a separate general aggregate at designated locations, what remains shared, and which policy details owners should verify now.Commercial PropertyCP 00 10Building and Personal Property Coverage FormWhat the CP 00 10 Building and Personal Property Coverage Form covers, its three separate coverage categories, and why it always needs a causes of loss form.Commercial PropertyCP 00 18Condominium Commercial Unit-Owners Coverage FormLearn how CP 00 18 covers a commercial condo owner's business personal property, coordinates with association insurance, and treats unit improvements.Commercial PropertyCP 00 30Business Income (and Extra Expense) Coverage FormHow the CP 00 30 Business Income (and Extra Expense) Coverage Form pays for lost income and extra costs while a business rebuilds after property damage.Commercial PropertyCP 10 10Causes of Loss - Basic FormLearn which named perils CP 10 10 covers, how the Basic Form works with CP 00 10, and what Broad or Special coverage can add for a commercial property.Commercial PropertyCP 10 30Causes of Loss Special FormHow the CP 10 30 Causes of Loss Special Form works, why open perils coverage beats the basic and broad named perils forms, and what it still excludes.Commercial PropertyCP 12 18Loss Payable ProvisionsLearn how CP 12 18 protects loss payees, lenders, buyers, and building owners, and how its four clauses match different financial interests in insured property.HomeownersHO 00 03Homeowners 3 - Special FormLearn how the HO 00 03 homeowners form covers the dwelling, personal property, loss of use, liability, and medical payments, plus its major coverage gaps.HomeownersHO 04 90Personal Property Replacement Cost Loss SettlementLearn how HO 04 90 replaces actual cash value with replacement cost for eligible personal property, which items stay ineligible, and how claims are settled.HomeownersHO 17 32Unit-Owners Coverage A Special CoverageLearn how HO 17 32 changes condo unit-owner Coverage A from named perils to open-peril coverage, what property it affects, and which exclusions remain.HomeownersHO 24 75WatercraftLearn how HO 24 75 restores homeowners liability coverage for scheduled watercraft, which uses stay excluded, and why hull coverage requires separate review.Commercial AutoMCS-90Endorsement for Motor Carrier Policies of Insurance for Public LiabilityWhat the MCS-90 endorsement does, why it is a federal judgment guarantee rather than insurance, the 49 CFR 387 limits, and how it differs from BMC-91 filings.Workers CompensationWC 00 03 13Waiver of Our Right to Recover from Others EndorsementWhat the WC 00 03 13 waiver of subrogation endorsement does, why construction contracts demand it, and what it costs to add to a workers compensation policy.

Form numbers and titles are cited for identification only. Menlo Insurance is not affiliated with Insurance Services Office, Inc. or ACORD Corporation. Your policy's actual terms control.