ACORD Forms Update (April 2015)

May 13, 2015 Becky Schroeder

We have updated the below ACORD forms for users of our agency management system InsurancePro.

Forms with New Revision Dates
133 2015/05 replaces 2012/12 - Workers Compensation Insurance Plan Assigned Risk Section

301 2015/04 replaces 2013/10 - National Flood Insurance Program Flood Insurance Application

302 2015/04 replaces 2013/10 - National Flood Insurance Program General Change Endorsement, Part 1 (of 2)

303 2015/04 replaces 2013/10 - National Flood Insurance Program Flood Insurance Preferred Risk Policy Application

304 2015/04 replaces 2013/10 - National Flood Insurance Program Flood Insurance Cancellation / Nullification Request Form

307 2015/04 replaces 2011/04 - National Flood Insurance Program Floodproofing Certificate for Non-Residential Structures

308 2015/04 replaces 2011/04 - National Flood Insurance Program Residential Basement Floodproofing Certificate

50 TX 2015/05 replaces 2014/06 - Texas Liability Insurance Card

64 DE 2015/05 replaces 2010/05 - Insurance Placement Facility Of Delaware

64 PA 2015/05 replaces 2011/08 - Insurance Placement Facility of Pennsylvania

64 WV 2015/05 replaces 2010/05 - West Virginia Essential Property Insurance Association

65 PA/DE/WV 2015/05 replaces 2006/08 - Fair Plan Supplementary Questionnaire

66 PA 2015/05 replaces 2011/08 - Insurance Placement Facility of Pennsylvania Dwelling Property 2 Broad Form Application Supplement

130 FL 2015/02 replaces 2002/07 - Florida Workers Compensation Application

137 AR 2015/12 replaces 2014/12 - Arkansas Commercial Auto (for use on or after 12/1/2015)

137 DE 2015/12 replaces 2013/12 - Delaware Commercial Auto (for use on or after 12/1/2015)

137 IL 2015/12 replaces 2014/12 - Illinois Commercial Auto (for use on or after 12/1/2015)

137 MO 2015/12 replaces 2014/12 - Missouri Commercial Auto (for use on or after 12/1/2015)

137 NC 2015/12 replaces 2014/12 - North Carolina Commercial Auto (for use on or after 12/1/2015)

137 NV 2015/12 replaces 2013/10 - Nevada Commercial Auto (for use on or after 12/1/2015)

137 NY 2015/12 replaces 2014/12 - New York Commercial Auto (for use on or after 12/1/2015)

137 OH 2015/12 replaces 2014/12 - Ohio Commercial Auto (for use on or after 12/1/2015)

137 OR 2015/12 replaces 2014/12 - Oregon Commercial Auto (for use on or after 12/1/2015)

137 PA 2015/12 replaces 2014/12 - Pennsylvania Commercial Auto (for use on or after 12/1/2015)

137 RI 2015/12 replaces 2014/12 - Rhode Island Commercial Auto (for use on or after 12/1/2015)

137 SC 2015/12 replaces 2014/12 - South Carolina Commercial Auto (for use on or after 12/1/2015)

137 SD 2015/12 replaces 2014/12 - South Dakota Commercial Auto (for use on or after 12/1/2015)

137 TN 2015/12 replaces 2014/12 - Tennessee Commercial Auto (for use on or after 12/1/2015)

137 TX 2015/12 replaces 2014/12 - Texas Commercial Auto (for use on or after 12/1/2015)

137 UT 2015/12 replaces 2014/12 - Utah Commercial Auto (for use on or after 12/1/2015)

137 VA 2015/12 replaces 2014/12 - Virginia Commercial Auto (for use on or after 12/1/2015)

137 VT 2015/12 replaces 2014/12 - Vermont Commercial Auto (for use on or after 12/1/2015)

137 WI 2015/12 replaces 2014/12 - Wisconsin Commercial Auto (for use on or after 12/1/2015)

138 AR 2015/12 replaces 2014/12 - Arkansas Garage And Dealers (for use on or after 12/1/2015)

138 DE 2015/12 replaces 2013/12 - Delaware Garage and Dealers (for use on or after 12/1/2015)

138 IL 2015/12 replaces 2014/12 - Illinois Garage and Dealers (for use on or after 12/1/2015)

138 MO 2015/12 replaces 2014/12 - Missouri Garage and Dealers (for use on or after 12/1/2015)

138 NC 2015/12 replaces 2014/12 - North Carolina Garage and Dealers (for use on or after 12/1/2015)

138 NV 2015/12 replaces 2013/10 - Nevada Garage and Dealers (for use on or after 12/1/2015)

138 NY 2015/12 replaces 2014/12 - New York Garage and Dealers (for use on or after 12/1/2015)

138 OH 2015/12 replaces 2014/12 - Ohio Garage and Dealers (for use on or after 12/1/2015)

138 OR 2015/12 replaces 2014/12 - Oregon Garage and Dealers (for use on or after 12/1/2015)

138 PA 2015/12 replaces 2014/12 - Pennsylvania Garage and Dealers (for use on or after 12/1/2015)

138 RI 2015/12 replaces 2014/12 - Rhode Island Garage and Dealers (for use on or after 12/1/2015)

138 SC 2015/12 replaces 2014/12 - South Carolina Garage and Dealers (for use on or after 12/1/2015)

138 SD 2015/12 replaces 2014/12 - South Dakota Garage and Dealers (for use on or after 12/1/2015)

138 TN 2015/12 replaces 2014/12 - Tennessee Garage and Dealers (for use on or after 12/1/2015)

138 TX 2015/12 replaces 2014/12 - Texas Garage and Dealers (for use on or after 12/1/2015)

138 UT 2015/12 replaces 2014/12 - Utah Garage and Dealers (for use on or after 12/1/2015)

138 VA 2015/12 replaces 2014/12 - Virginia Garage and Dealers (for use on or after 12/1/2015)

138 VT 2015/12 replaces 2014/12 - Vermont Garage and Dealers (for use on or after 12/1/2015)

138 WI 2015/12 replaces 2014/12 - Wisconsin Garage and Dealers (for use on or after 12/1/2015)

Withdrawn Forms
61 OK 1/94 - Oklahoma Auto Supplement Election of Non-Stacked Coverage

Corrections or Modifications to Existing Forms
125 2014/12 - Commercial Insurance Application

125 FL 2015/02 - Florida Commercial Insurance Application, Applicant Information Section

140 2014/12 - Property Section

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About the Author

Becky Schroeder

As senior vice president of sales and marketing, Becky Schroeder oversees ITC’s sales and marketing departments. Her specialties include creating and documenting processes; establishing metrics for managing those processes; developing content strategy and generating leads; and driving the overall company sales and marketing strategy. Becky was named an Elite Woman in Insurance by Insurance Business America in 2016. She has a master’s degree in integrated marketing communication from Emerson College in Boston and a bachelor’s degree in journalism from Texas A&M University. Becky is a big Texas A&M football fan and enjoys cooking, reading and spending time with her husband and their three daughters.

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