ACORD Forms Update (April 2016)

May 10, 2016 Becky Schroeder

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

Forms with New Revision Dates
825 2016/05 replaces 2013/09 - Professional/Specialty Insurance Application
39 MD 2016/05 replaces 2003/05 - Maryland Application Supplement

Corrections or Modifications to Existing Forms

64 TX 2003/04 - Texas Windstorm Insurance Association - Application for Windstorm and Hail Insurance
67 MA 2003/04 - Massachusetts Property Insurance Underwriting Association - Application for Commercial Fire Insurance Inspection and Placement
68 RI 2003/04 - Rhode Island Joint Reinsurance Association - Application for Commercial Fire Insurance Inspection and Placement
60 MA 2012/07 - Massachusetts Property Insurance Underwriting Association
64 RI 2012/07 - Rhode Island Joint Reinsurance Association - Application for Homeowners Insurance Inspection and Placement
65 MA 2015/01 - Massachusetts Property Insurance Underwriting Association, Application for Dwelling Fire Insurance Inspection and Placement
66 RI 2012/07 - Rhode Island Joint Reinsurance Association - Application for Dwelling Fire Insurance Inspection and Placement
74 2009/09 - Residence Based Business Supplement to Personal Property Applications
80 2016/03 - Homeowner Application
81 2016/03 - Personal Inland Marine Application
82 2016/03 - Watercraft Application
83 2016/04 - Personal Umbrella Application
83 2014/12 - Florida Personal Umbrella Application
84 2016/03 - Dwelling Fire Application
85 2016/03 - Mobile Home Application
88 2015/12 - Personal Insurance Application
125 2016/03 - Commercial Insurance Application
125 2016/03 - Florida Commercial Insurance Application, Applicant Information Section
283 2016/04 - Personal Umbrella Application Section
283 FL 2014/12 - Florida Personal Umbrella Application Section
325 2013/09 - Aviation Insurance Application
401 2016/03 - Agriculture Application
170 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Instructions for Completion of Insurance Applications
172 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Homeowners Supplement
173 KS 2005/11 - Kansas Cancellation of Election Not to Accept Coverage
173 MI 2000/09 - Michigan Workers Compensation Placement Facility Specific Person Exclusion Form
173 NY 7/96 - New York Notice of Election of an Incorporated Religious
173 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Dwelling Fire Supplement
174 KS 2005/11 - Kansas Election Not to Accept Coverage
174 NY 7/96 - New York Revocation of an Incorporated Religious
174 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Commercial Supplement
175 FL 3/97 - Florida Workers Compensation Monthly Change Sheet
175 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Farm Supplement
176 KS 2005/11 - Kansas Election of Employer to Cover Employees
176 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Rehabilitation Supplement
177 KS 2005/11 - Kansas Election of Coverage for Volunteer Workers
177 OH 2002/09 - Ohio FAIR Plan Underwriting Association - Bowling Alley Supplement
178 KS 2005/11 - Kansas Cancellation of Election of Employer To Cover Employees
179 KS 2005/11 - Kansas Cancellation of Election of Coverage for Volunteer Workers
181 KS 2005/11 - Kansas Cancellation of Election of Coverage for Persons Performing Public Service
182 KS 2001/05 - Kansas Election of a Noncompensated Volunteer To Be Covered
183 KS 2001/05 - Kansas Cancellation of Election of a Noncompensated Volunteer To Be Covered


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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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