Accessing the Broker of Record Change Form Creating a New Broker of Record Change Form Snapchat emulates that behavior and psychology.Snapchat was started at a time when everybody and their mom thought they were an entrepreneur who could launch a successful social app. Get the Acord agent of record form completed. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. Filing requirements and other information for Forms that ACORD files on behalf of licensed users in various jurisdictions. notifies the insurer that you have been named as the exclusive representative with respect. ACORD 36 Agency / Broker of Record Change. Draw your signature or initials, place it in the corresponding field and save the changes. PDF Agent/Broker of Record Change Date Producer Insurance Company Name The ACORD name and logo are registered marks of ACORD ACORD 36 (2007/01) CURRENT AGENCY CURRENT PRODUCER INSURANCE COMPANY NAME . Use of Credit Information Disclosure, ACORD Form 852 MD 2012/10 Maryland Personal Property Supplement Homeowners Insurance- Limitation of Claims Made Notice, ACORD Form 852 TX 2020/07 TX Personal Lines Supp. We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our 3rd party partners) and for other business use. Many updates and improvements! All you have to do is download it or send it via email. Whether or not the former agent is notified and provided lead time to get an AOR letter rescinded is considered a matter between carriers and their agents. 775. 2023 airSlate Inc. All rights reserved. Corp. Wind Only Supplemental Application Schedule Commercial and Commercial Residential, ACORD Form 226 3/93 Statement of Premium Adjustment, ACORD Form 275 2016/03 Aviation Insurance Binder, ACORD Form 276 2016/03 Aircraft Insurance Binder, ACORD Form 281 2016/05 Personal Inland Marine Section, ACORD Form 282 2016/05 Watercraft Section, ACORD Form 283 2016/04 Personal Umbrella Application Section, ACORD Form 283 FL 2022/05 Florida Personal Umbrella Application Section, ACORD Form 283 NV 2022/01 Nevada Personal Umbrella Application Section, ACORD Form 283 NY 2022/02 New York Personal Umbrella Section, ACORD Form 290 AL 2014/12 Alabama Personal Automobile Application Section, ACORD Form 290 AK 2014/12 2022/10 Alaska Personal Auto Application Section Arkansas, ACORD Form 290 AR 2014/12 Arkansas Personal Auto Application Section, ACORD Form 290 AZ 2016/08 Arizona Personal Automobile Application Section California, ACORD Form 290 CA 2023/01 California Personal Auto Application Section, ACORD Form 290 CO 2014/12 Colorado Personal Automobile Application Section Connecticut, ACORD Form 290 CT 2014/12 Connecticut Personal Automobile Application Section, ACORD Form 290 DE 2021/03 Delaware Personal Auto Application Section District of Columbia, ACORD Form 290 DC 2014/12 District of Columbia Personal Auto App Section Florida, ACORD Form 290 GA 2014/12 Georgia Personal Automobile Application Section, ACORD Form 290 GA 2022/10 Georgia Personal Automobile Application Section, ACORD Form 290 HI 2015/12 Hawaii Personal Auto Application Section, ACORD Form 290 ID 2014/12 Idaho Personal Automobile Application Section, ACORD Form 290 IL 2014/12 Illinois Personal Auto Application Section, ACORD Form 290 IN 2014/12 Indiana Personal Auto Application, ACORD Form 290 IA 2014/12 Iowa Personal Automobile Application Section, ACORD Form 290 KS 2016/04 Kansas Personal Auto Application Section Kentucky, ACORD Form 290 KY 2015/09 Kentucky Personal Auto Application Section, ACORD Form 290 LA 2014/12 Louisiana Personal Auto Application Section, ACORD Form 290 ME 2015/12 Maine Personal Auto Application Selection, ACORD Form 290 MD 2018/08 Maryland Personal Automobile Application Section, ACORD Form 290 MI 2020/07 Michigan Personal Automobile Application Section, ACORD Form 290 MN 2019/12 Minnesota Personal Auto Application Section, ACORD Form 290 MS 2016/07 Mississippi personal Auto Application Section Missouri, ACORD Form 290 MO 2014/12 Missouri Personal Auto Application Section Montana, ACORD Form 290 MT 2023/05 Montana Personal Auto Application Section, ACORD Form 290 NE 2014/12 Nebraska Personal Auto Application, ACORD Form 290 NV 2014/12 Nevada Personal Auto Application Section, ACORD Form 290 NH 2021/07 New Hampshire Personal Auto Application Section, ACORD Form 290 NJ 2015/12 New Jersey Personal Auto Application Section, ACORD Form 290 NM 2014/12 New Mexico Personal Auto Application Section New York, ACORD Form 290 NY 2015/12 New York Personal Auto Application Section, ACORD Form 290 NC 2016/05 North Carolina Personal Automobile Application Section, ACORD Form 290 ND 2014/12 North Dakota Personal Auto Application Section, ACORD Form 290 OH 2014/12 Ohio Personal Automobile Application Section Oklahoma, ACORD Form 290 OK 2014/12 Oklahoma Personal Automobile Application Section, ACORD Form 290 OR 2018/08 Oregon Personal Auto Application Section, ACORD Form 290 PA 2015/12 Pennsylvania Personal Auto Application Section, ACORD Form 290 PR 2014/12 Puerto Rico Personal Auto Application Section Rhode Island, ACORD Form 290 RI 2016/06 Rhode Island Personal Automobile Application Section, ACORD Form 290 SC 2020/04 South Carolina Personal Automobile Application, ACORD Form 290 SD 2014/12 South Dakota Personal Auto Application Section Tennessee, ACORD Form 290 TN 2014/12 Tennessee Personal Automobile Application Texas, ACORD Form 290 TX 2015/12 Texas Personal Automobile Application Section, ACORD Form 290 UT 2014/12 Utah Personal Auto Application Section, ACORD Form 290 VT 2020/08 Vermont Personal Auto Application Section, ACORD Form 290 VI 2014/12 Virgin Islands Personal Auto Application Section, ACORD Form 290 VA 2019/10 Virginia Personal Auto Application Section Washington, ACORD Form 290 WA 2016/12 Washington Personal Auto Application Section, ACORD Form 290 WA 2021/06 Washington Personal Auto Application Section (Without Credit), ACORD Form 290 WV 2020/09 West Virginia Personal Auto Application Section, ACORD Form 290 WI 2016/06 Wisconsin Personal Auto Application Wyoming, ACORD Form 290 WY 2014/12 Wyoming Personal Auto Application Section, ACORD Form 301 2015/04 National Flood Insurance Program Flood Insurance Application, ACORD Form 302 2015/04 NFIP Flood Insurance General Change Endorsement, ACORD Form 303 2015/04 NFIP Flood Insurance Preferred Risk Policy Application, ACORD Form 304 2018/08 NFIP Flood Insurance Cancellation / Nullification, ACORD Form 305 2012/02 NFIP Credit Card Payment Form, ACORD Form 306 2011/04 NFIP Rating Information and Elevated Building Determination Form, ACORD Form 307 2016/02 NFIP Floodproofing Certificate for Non-Residential Structures, ACORD Form 308 2015/04 NFIP Residential Basement Floodproofing Certificate, ACORD Form 325 2013/09 Aviation Insurance Application Applicant Information Section, ACORD Form 326 2006/04 Airport Property Supplement, ACORD Form 327 2016/03 Airport and FBO Liability Section, ACORD Form 328 2014/12 Private Hanger Liability Section, ACORD Form 329 2014/12 Aviation Products Liability, ACORD Form 335 2009/06 Aviation Policy Change Request Applicant Information Section, ACORD Form 336 2009/06 Airport Property Change Request, ACORD Form 337 2016/03 Airport and FBO Liability Change Request, ACORD Form 338 2009/06 Private Hangar Liability Change Request, ACORD Form 339 2009/06 Aviation Products Liability Change Request, ACORD Form 340 2016/03 Aircraft Change Request, ACORD Form 341 2011/11 Pilot Experience Change Request, ACORD Form 342 2009/06 Hanger Change Request, ACORD Form 350 Watermark Paper 20 # ID Card Stock (4-part perforation), ACORD Form 360 Watermark Paper 32 # ID Card Stock (4-part perforation), ACORD Form 370 Watermark Paper 32 # ID Card Stock (nonperforated), ACORD Form 401 2016/03 Agriculture Application, ACORD Form 402 2016/03 Agriculture Property Section, ACORD Form 403 2016/03 Agriculture Property Section Scheduled / Unscheduled Personal Property, ACORD Form 404 2016/03 Agriculture Liability Section, ACORD Form 405 2007/09 Agriculture Premises Diagram, ACORD Form 406 2007/09 Agriculture Supplement- Unscheduled FarmPersonal Property Inventory Form, ACORD Form 407 2016/03 Livestock Mortality Section, ACORD Form 408 2007/09 Equine Liability Supplement, ACORD Form 410 2016/03 Small Farm / Ranch Application, ACORD Form 501 2016/06 Surety Report of Execution, ACORD Form 502 2018/08 Contract Bond Request Form, ACORD Form 503 2016/06 Commercial or Miscellaneous Bond Request Form, ACORD Form 504 2016/06 Additional Entity Schedule, ACORD Form 610 2015/12 Premium Payment Supplement, ACORD Form 610 FL 2021/06 Florida Premium Payment Supplement, ACORD Form 611 2015/07 Claims History / Loss Run Request, ACORD Form 801 2002/01 Railroad Protective Liability Supplement, ACORD Form 802 2011/09 Hotel / Motel Supplement, ACORD Form 803 2016/03 Liquor Liability Section, ACORD Form 807 2016/03 Directors & Officers Liability Section, ACORD Form 807 AR 2016/03 Arkansas Directors & Officer Liability Section, ACORD Form 807 MN 2016/03 Minnesota Directors & Officers Liability Insurance Section, ACORD Form 807 MT 2016/03 Montana Directors & Officers Liability Section, ACORD Form 808 2010/08 P and C Agency Appointment Form, ACORD Form 810 2014/12 Business Income / Extra Expense / Rental Value Supplement to Property Section, ACORD Form 811 2014/12 Value Reporting Information Supplement to Property Section, ACORD Form 812 2006/02 Agency Questionnaire, ACORD Form 813 2005/03 Request for Proof of Property Insurance, ACORD Form 815 2009/02 International Liability Exposure Supplement, ACORD Form 816 2005/06 International Property Exposure Supplement, ACORD Form 821 2015/10 Producer Information Form (PIF), ACORD Form 822 2009/07 Driver Work / School Address Information Supplement, ACORD Form 823 2015/12 Additional Premises Information Schedule, ACORD Form 825 2016/05 Professional / Specialty Insurance Application For Use in Management- Executive & Professional Lines Applicant Section, ACORD Form 827 2016/03 Employment Practices Liability Insurance Section, ACORD Form 827 AR 2016/03 Arkansas Employment Practices Liability Insurance Section, ACORD Form 827 MN 2016/03 Minnesota Employment Practices Liability Insurance Section, ACORD Form 827 MT 2016/03 Montana Employment Practices Liability Insurances Section, ACORD Form 828 2016/03 Fiduciary Liability Coverage Section, ACORD Form 828 AR 2016/03 Arkansas Fiduciary Liability Coverage Section, ACORD Form 828 MN 2016/03 Minnesota Fiduciary Liability Coverage Section, ACORD Form 828 MT 2016/03 Montana Fiduciary Liability Coverage Section, ACORD Form 829 2009/05 Forms and Endorsements Schedule, ACORD Form 830 2008/11 Property Insurance Card, ACORD Form 831 2019/09 Professional / Specialty Insurance Notice of Incident / Claim, ACORD Form 832 2016/03 Miscellaneous E&O Section, ACORD Form 832 AR 2016/03 Arkansas Miscellaneous E&O Section, ACORD Form 832 MN 2016/03 Minnesota Miscellaneous E&O Section, ACORD Form 832 MT 2016/03 Montana Miscellaneous E&O Section, ACORD Form 833 2014/12 Lawyers Professional Liability Section, ACORD Form 833 AR 2014/12 Arkansas Lawyers Professional Liability Section, ACORD Form 833 MN 2014/12 Minnesota Lawyers Professional Liability Section, ACORD Form 833 MT 2014/12 Montana Lawyers Professional Liability Section, ACORD Form 834 2014/12 Cyber and Privacy Coverage Section, ACORD Form 834 AR 2014/12 Arkansas Cyber and Privacy Coverage Section, ACORD Form 834 MN 2014/12 Minnesota Cyber and Privacy Coverage Section, ACORD Form 834 MT 2014/12 Montana Cyber and Privacy Coverage Section, ACORD Form 838 2013/12 Accountants Professional Liability Section, ACORD Form 838 AR 2013/12 Arkansas Accountants Professional Liability Section Arizona, ACORD Form 838 MN 2013/12 Minnesota Accountants Professional Liability Section, ACORD Form 838 MT 2013/12 Montana Accountants Professional Liability Section, ACORD Form 851 MD 2008/11 Maryland Personal Property Supplement Loss from Water and Sewer Backup, ACORD Form 851 TX 2020/07 TX Personal Lines Supp. Let's quickly go through them so that you can stay assured that your fillable broker of record form remains protected as you fill it out. There could be differences.You may receive a 1099 which is missing basis information. Coverage Election by Employee who is an Officer of a Corporation- Manager of an LLC- or Member of a Multiple-Member LLC, ACORD Form 171 DE 2006/01 Delaware Executive Officer(s) Exclusion, ACORD Form 171 FL 2014/10 Florida Notice of Election of Coverage, ACORD Form 171 GA 2013/05 Georgia State Board of Workers Compensation Notice of Election or Rejection of Workers Compensation Coverage, ACORD Form 171 IL 2005/06 Illinois FAIR Plan Application for Commercial Property Insurance, ACORD Form 171 KS 2020/09 Kansas Election Of Individual- Partner or SelfEmployed Individual, ACORD Form 171 MI 2005/01 Michigan Notice of Election, ACORD Form 171 NJ 2003/07 New Jersey Workers Compensation Insurance Plan NJ Workers compensation and Employers Liability Manual Part 3- Section 14, ACORD Form 171 NM 2004/10 New Mexico Executive Employee Affirmative Election Form, ACORD Form 171 NY 10/96 New York Notice of Election of a Corporation, ACORD Form 171 OH 2004/03 Ohio FAIR Plan Basic Property Application, ACORD Form 171 PA 2002/02 Pennsylvania Application for Executive Officer Exception, ACORD Form 172 CT 2020/09 Connecticut Workers Com. Utilize a check mark to point the answer . Use the clickable sections in the form below to find corresponding fields in Sagitta. ACORD Forms List - acords.com Written notification from carrier to incumbent agent that an AOR letter has been received. for a better signing experience. What I mean by this is that: when we talk to each other, passing in the halls or just living out our lives, those moments disappear. The agent about record change form isn't an exception. Inspection and Placement p. 1, ACORD Form 66 FL 2022/05 Florida Insurance Supplement Credit Report Disclosure Information, ACORD Form 66 IA 2006/07 Iowa Personal Insurance Supplement Disclosure Use of Claims History, ACORD Form 66 KY 2011/01 Kentucky FAIR Plan Farm Fire Application, ACORD Form 66 LA 4/98 Louisiana Dwelling Supplement Loss Settlement DWG2 & 3, ACORD Form 66 MD 2017/02 Maryland Property Insurance Availability Program Essential Homeowners Insurance Inspection an Placement (p. 2 of 2), ACORD Form 66 MA 2015/01 Massachusetts Property Ins. 1 Acord Agent Of Record Form Templates are collected for any of your needs. AGENT/BROKER OF RECORD CHANGE. Time & money saved yet again.Analytics will empower you to make strategic decisions and explore new revenue opportunities.The app is dirt-cheap & you dont any training to use the app. Coverage Election by Sole Proprietor or Single-Member LLC, ACORD Form 173 KS 2020/09 Kansas Cancel. Go to the Chrome Web Store and add the signNow extension to your browser. This completed and signed Broker of Record letter will need to be uploaded as part of NY State of Health - Young Adults Fact Sheet. After its signed its up to you on how to export your broker of record: download it to your mobile device, upload it to the cloud or send it to another party via email. Agent of Record Form - Fill Out and Sign Printable PDF Template Follow the instructions below to fill out Acord agent of record form online quickly and easily: Benefit from DocHub, one of the most easy-to-use editors to promptly handle your documentation online! Please update your email/profile. Do not share the login credentials with anyone but make sure you remember them.Step 2: Upload Scanned ImagesThe scanned images of photographs, thumb impression and signature should be in JPG/JPEG format only.While uploading the photograph, signature and thumb impression, please see its preview to check if they have been uploaded correctly.You will be able to modify/correct the particulars before the payment of fees.Step 3: Make The PaymentPayment of the Application Fees for JEE (Main) is through Debit card or Credit Card or E Challan.E-challan has to be downloaded while applying and the payment has to be made in cash at Canara Bank or Syndicate Bank or ICICI bank.After successful payment, you will be able to print the acknowledgment page. Once youve finished signing your cord 36 200701 applications, decide what you wish to do next download it or share the doc with other people. Select the area where you want to insert your signature and then draw it in the popup window. PRODUCER CODE # DATE signNow makes signing easier and more convenient since it provides users with a range of additional features like Invite to Sign, Merge Documents, Add Fields, and so on. Agent of Record Letters Typically, an underwriter will offer a quote or issue a policy to the first agent who provided whatever he or she considers to be a full submission. Show details. 01. 03. 256-bit encryption: transmits the data safely to the servers. JEE Main Application Form is completely online and there is no offline component or downloadable application form. Launch participants included National Geographic, Vice, ESPN, and more. Liability App has been updated in vivid Form Managers. If later, the insured wants to change agents, they can do so with an Agent of Record letter (AOR). Select the area where you want to insert your signature and then draw it in the popup window. Please be advised that effective [date] we have appointed The XYZ Agency as our agent of record with regard to insurance and bonding requirements. Audit Trail: serves to capture and record identity authentication, time and date stamp, and IP. An agent out record (AOR) is an individual or a legal entity with one duly executed contractual agreement with an insurance policy owner, in line with the . Here are some steps you need to follow:Step 1: Fill the Application FormEnter all the details while filling the Online Application Form and choose a strong password and security question with a relevant answer.After entering the data, an application number will be generated and it will be used to complete the remaining steps. Start signing broker of record by means of solution and join the numerous satisfied users whove already experienced the benefits of in-mail signing. DocHub User Ratings on G2. Underwriting Assn. Of Election of Coverage for Persons Performing Public Service, ACORD Form 182 KS 2020/09 Kansas Election of a Noncompensated Volunteer to be Covered, ACORD Form 183 KS 2020/09 Kansas Cancel. proceeding. Insurance Application, ACORD Form 64 NJ 2023/01 New Jersey Auto Supplement Standard Policy Coverage, ACORD Form 64 NY 2018/06 New York Auto Supplement Supp. And because of its cross-platform nature, signNow works well on any device, PC or mobile, irrespective of the OS. Compliance with eSignature regulations is only a portion of what signNow can offer to make document execution legal and secure. They come in with a smooth UI. Broker of Record: What it is, How it Works - Investopedia We have defined outputs in the form of metrics, reports, and. Open the email you received with the documents that need signing. signNow addresses your requirements in document managing in a few clicks from any device of your choice. acord-36-bor.pdf Available, ACORD Form 62 WV 2016/01 West Virginia Auto Supplement UM / UIM Coverage Offer Single Limits, ACORD Form 63 CA 2023/01 California Fraud Statement, ACORD Form 63 UT 9/93 Utah Fraud Statement, ACORD Form 64 US 2015/01 Insurance Supplement Workers Compensation Only Notice Offer of Terrorism Coverage, ACORD Form 64 CA 2004/02 California Insurance Supplement Agency Language, ACORD Form 64 CO 2009/01 Colorado Auto Supplement Colorado Offer of Medical Payments Coverage, ACORD Form 64 DE 2015/05 Insurance Placement Facility of Delaware Basic Property Insurance Application, ACORD Form 64 DC 2017/02 Application to District of Columbia Property Insurance Facility for Basic Property Insurance, ACORD Form 64 FL 2011/10 Florida Auto Supplement Notice to Policyholders Florida Notification of Availability of Uninsured Motorist Coverage, ACORD Form 64 IA 2/98 Iowa Auto Supplement UM/UIM Stacking coverage Notice, ACORD Form 64 IL 2023/01 llinois Auto Supplement Uninsured Motorists Property Damage Coverage Notice and Election, ACORD Form 64 KY 2011/01 Kentucky FAIR Plan Homeowners Application, ACORD Form 64 LA 2001/05 Louisiana Homeowners Supplement Loss Settlement (HO2 & 3), ACORD Form 64 MD 2017/02 Maryland Property Insurance Availability Program Essential Property Insurance Inspection and Placement, ACORD Form 64 MA 2/97 Massachusetts Residential Property Liability Supplement Lead Poisoning Liability Disclosure Notice, ACORD Form 64 MI 2000/10 Michigan Basic Property Insurance Assn. Search and download from the ACORD Forms library. Open the email you received with the documents that need signing. Property-Casualty ACORD Forms(excludes Life, Annuity, Health and Australia forms), ACORD Form 1 2019/07 Property Loss Notice, ACORD Form 1 CA 2023/01 California Property Loss Notice, ACORD Form 2 2019/07 Automobile Loss Notice, ACORD Form 2 CA 2023/01 California Automobile Loss Notice, ACORD Form 3 2019/09 Liability Notice of Occurrence / Claim, ACORD Form 3 CA 2023/01 California Liability Notice of Occurrence / Claim, ACORD Form 4 2019/09 Workers Compensation First Report of Injury or dIllness, ACORD Form 4 WI 2003/04 Wisconsin Employers First Report of Injury or Disease, ACORD Form 5 2019/09 Aircraft Loss Notice, ACORD Form 6 2009/05 Aviation Witness / Passenger Schedule, ACORD Form 7 2009/05 Aviation Injured Schedule, ACORD Form 9 GA 2019/10 Georgia Notice of Nonrenewal of Motor Vehicle Insurance, ACORD Form 9 SC 2019/07 South Carolina Required Notice for Motor Vehicle Insurance Applications, ACORD Form 10 GA 2019/10 Georgia Notice of Nonrenewal of Motor Vehicle Insurance Based on Termination of Agency, ACORD Form 10 SC 2019/07 South Carolina Required Notice for Property and Casualty Applications, ACORD Form 11 2/95 Auto Accident Information Form, ACORD Form 12 2/95 Exchange of Information Form, ACORD Form 20 2016/03 Certificate of Aviation Liability Insurance, ACORD Form 21 2016/03 Certificate of Aircraft Insurance, ACORD Form 22 2016/03 Intermodal Interchange Certificate of Insurance, ACORD Form 23 2016/03 Vehicle or Equipment Certificate of Insurance, ACORD Form 24 2016/03 Certificate of Property Insurance, ACORD Form 25 2016/03 Certificate of Liability Insurance, ACORD Form 26 2002/01 Policy Certification Log, ACORD Form 27 2016/03 Evidence of Property Insurance, ACORD Form 28 2016/03 Evidence of Commercial Property Insurance, ACORD Form 29 2016/03 Evidence of Flood Insurance, ACORD Form 30 2016/03 Certificate of Garage Insurance, ACORD Form 31 2016/03 Certificate of Marine / Energy Insurance, ACORD Form 35 2017/05 Cancellation Request / Policy Release, ACORD Form 36 2007/01 Agent/Broker of Record Change, ACORD Form 36 MD 2020/05 Maryland Change of Insurance Producer of Record, ACORD Form 37 2008/01 Statement of No Loss, ACORD Form 37 DE 2019/07 Delaware Renewal Notice: Right for Credit Information Review, ACORD Form 38 2013/01 Notice of Insurance Information Practices (Privacy), ACORD Form 38 AZ 2003/10 Arizona Notice of Information Practices (Privacy), ACORD Form 38 CO 2019/07 Colorado Model Privacy Form with Opt-Out, ACORD Form 38 DE 2021/07 Delaware Personal Insurance Supplement: Use of Credit Information, ACORD Form 38 KS 2013/12 Kansas Personal Insurance Supplement Notice of Insurance Information Practices, ACORD Form 38 MN 2021/08 Minnesota Authorization, ACORD Form 38 NY 2005/04 New York Personal Insurance Supplement Notice of Information Practices, ACORD Form 38 ND 2005/08 North Dakota Personal Insurance Supplement Notice of Information Practices, ACORD Form 38 OR 2013/01 Oregon Notice of Information Practices (Privacy), ACORD Form 38 VA 2018/12 Virginia Notice of Information Practices (Privacy), ACORD Form 38 WV 2020/9 West Virginia Personal Insurance Supplement Notice of Insurance Information Practices, ACORD Form 39 CO 2019/07 Colorado Model Privacy Form with No Opt-Out, ACORD Form 39 DE 2019/07 Delaware Privacy Notice for Excess Lines Broker or Excess Lines Insurer, ACORD Form 39 MD 2016/05 Maryland Personal Insurance Supplement, ACORD Form 39 NY 2011/03 New York Insurance Supplement, ACORD Form 42 2014/08 Residential Property Replacement Cost, ACORD Form 42 CA 2019/07 California Residential Personal Property Replacement Cost Notice, ACORD Form 45 2016/03 Additional Interest Schedule, ACORD Form 50 2007/02 Automobile Insurance ID Card, ACORD Form 50 WM 2007/03 Automobile Insurance ID Card (with Watermark), ACORD Form 50 AL 2007/10 Alabama Insurance Identification Card, ACORD Form 50 AR 2007/10 Arkansas Proof of Insurance Card, ACORD Form 50 AZ 2018/08 Arizona Insurance Identification Card, ACORD Form 50 CA 2004/07 California Insurance Identification Card, ACORD Form 50 CO 2007/03 Colorado Insurance Identification Card, ACORD Form 50 CT 2009/01 2022/07 Connecticut Insurance Identification Card, ACORD Form 50 FL 2017/12 Florida Auto ID Card, ACORD Form 50 GA 2008/11 Georgia Insurance Policy Information Card, ACORD Form 50 HI 2008/01 Hawaii Auto ID Card, ACORD Form 50 ID 2007/10 State of Idaho Liability Insurance Identification Card, ACORD Form 50 IL 2007/03 Illinois Insurance Identification Card, ACORD Form 50 IN 2007/11 Indiana Insurance Identification Card, ACORD Form 50 IA 2007/08 Iowa Financial Responsibility Card, ACORD Form 50 KY 2006/01 Commonwealth of Kentucky Proof of Insurance, ACORD Form 50 LA 2018/10 Louisiana Auto Insurance Identification Card, ACORD Form 50 ME 2022/01 Maine Motor Vehicle Insurance Identification Card, ACORD Form 50 MD 2016/10 Maryland Motor Vehicle Liability Insurance Identification Card, ACORD Form 50 MI 2010/08 State of Michigan Certificate of No-Fault Insurance, ACORD Form 50 MS 2008/01 Mississippi Auto Insurance ID Card, ACORD Form 50 MO 2007/05 Missouri Auto Insurance ID Card, ACORD Form 50 NE 2007/01 Nebraska Auto Liability Insurance Identification Card, ACORD Form 50 NJ 2016/12 State of NJ Temporary Evidence of Insurance, ACORD Form 50 ND 2007/08 North Dakota Insurance Identification Card, ACORD Form 50 OK 2009/08 Oklahoma Owners Security Verification Form, ACORD Form 50 PA 2007/09 Pennsylvania Financial Responsibility Card, ACORD Form 50 RI 2008/01 Rhode Island Insurance Identification Card, ACORD Form 50 SC 2007/01 South Carolina Insurance Identification Card, ACORD Form 50 SD 2007/02 South Dakota Insurance Identification Card, ACORD Form 50 TN 2007/02 Tennessee Insurance Identification Card, ACORD Form 50 TX 2020/1 Texas Liability Insurance Card, ACORD Form 50 VT 2007/02 Vermont Automobile Insurance Identification Card, ACORD Form 50 WV 2014/01 West Virginia Certificate of Insurance, ACORD Form 51 CA 2004/07 California Evidence of Liability Insurance, ACORD Form 51 GA 2005/01 Georgia Fleet Policy Information Card, ACORD Form 51 ME 2022/01 Maine Temporary Motor Vehicle Insurance Identification Card, ACORD Form 51 NV 2016/07 Nevada Temporary Insurance Identification Card, ACORD Form 51 NJ 2016/12 State of NJ Insurance Identification Card, ACORD Form 51 OK 2009/08 Oklahoma Operators Security Verification form, ACORD Form 51 UT 2014/07 Utah Insurance Identification Card, ACORD Form 52 CA 2007/07 California Fleet Auto Insurance Identification Card, ACORD Form 52 NV 2016/07 Nevada Permanent Insurance Identification Card, ACORD Form 53 NV 2016/07 Nevada Temporary Insurance Identification Card- Evidence of Operators Policy of Liability Insurance, ACORD Form 54 1/97 Financial Responsibility Form, ACORD Form 54 NV 2016/07 Nevada Permanent Insurance Identification Card- Evidence of Operators Policy of Liability Insurance, ACORD Form 57 1/97 Financial Responsibility Form Cancellation, ACORD Form 58 2007/11 Notice of Cancellation or Termination of Policy, ACORD Form 58 PA 2021/05 Pennsylvania Notice of Cancellation or Notice of Nonrenewal, ACORD Form 60 2010/04 Flood Insurance Selection / Rejection, ACORD Form 60 US 2015/01 Insurance Supplement Notice Offer of dTerrorism Coverage, ACORD Form 60 HI 2010/07 Hawaii Auto Supplement UM/UIM/PIP, ACORD Form 60 KY 2017/11 Kentucky Auto Supplement Rejection of Uninsured / Underinsured Motorist Coverage, ACORD Form 60 LA 4/98 Louisiana Dwelling Supplement Loss Settlement DWG1, ACORD Form 60 MA 2020/11 Massachusetts Property Insurance Underwriting Association Application for Homeowners Insurance, ACORD Form 60 MI 2010/03 Michigan Automobile Insurance Placement Facility: Michigan Auto Supplement Declaration of Intent to Reside, ACORD Form 60 MT 2003/09 Montana Application Supplement Refusal to Renew, ACORD Form 60 NJ 2001/10 New Jersey Homeowners Insurance Supplement Flood Exclusion, ACORD Form 60 NM 2003/01 New Mexico Confidential Abuse Disclosure, ACORD Form 60 NY 2008/03 New York Homeowners Supplement, ACORD Form 60 OK 2009/11 Oklahoma Auto Supplement UM Coverage Law, ACORD Form 60 PA 2012/10 Pennsylvania UM Coverage Select/Reject, ACORD Form 60 SC 2019/09 South Carolina Auto Supplement- Required Notice, ACORD Form 60 TX 2021/11 Texas Consumer Bill of Rights for Personal Auto, ACORD Form 60 US 2020/09 Insurance Supplement Offer of Terrorism Coverage, ACORD Form 60 VA 2019/05 Virginia Auto Supplement Rental Reimbursement Coverage, ACORD Form 60 WV 2021/06 West Virginia Auto Supplement UM / UIM Vehicle Coverage, ACORD Form 61 AK 7/97 2022/10 Alaska Auto Supplement UM/UIM Coverage Selection, ACORD Form 61 AR 2010/04 Arkansas Auto Supplement UM/UIM Coverage, ACORD Form 61 AZ 2020/07 Arizona Auto Supplement UM/UIM Coverage, ACORD Form 61 CA 2023/01 California Auto Supplement Mandatory UM Bodily Injury / Property Damage Coverage Offer, ACORD Form 61 CO 2018/04 Colorado Auto Supplement Summary of Coverages, ACORD Form 61 CT 2018/01 Connecticut Auto Supplement UM Coverage, ACORD Form 61 DE 2018/06 DE Auto Supplement- DE Motorists Protection Act Required Statement to Policyholders, ACORD Form 61 FL 2011/10 Florida Auto Supplement Rejection/Election of UM Coverage, ACORD Form 61 ID 2019/01 Idaho Auto Supplement Idaho Uninsured Motorist and Underinsured Motorist Disclosure Statement, ACORD Form 61 IL 2023/01 Illinois Auto Supplement UM/UIM, ACORD Form 61 IA 2002/02 Iowa Auto Supplement UM/UIM Offer/Rejection, ACORD Form 61 LA 2001/05 Louisiana Homeowners Supplement Loss Settlement (HO4), ACORD Form 61 MA 2017/11 Massachusetts Property Insurance Underwriting Association Instructions to Complete Homeowners Application ACORD 60 MA, ACORD Form 61 MI 2020/07 Michigan Choice of Bodily Injury Liability Coverage Limits, ACORD Form 61 MS 2013/07 Mississippi Auto Supplement Non-Stacking UM Insurance, ACORD Form 61 NV 2021/10 Nevada Auto Supplement- Mandatory Offer of Medical Payments Coverage and Uninsured Motorists Coverage, ACORD Form 61 NJ 2023/01 New Jersey Auto Insurance Buyers Guide, ACORD Form 61 NM 2010/12 New Mexico Auto Supplement UM Coverage Selection / Rejection and Rejection of Stacked UM Coverage, ACORD Form 61 NY 3/94 New York Auto Supplement (Optional Basic Econ.

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