PDF4PRO ⚡AMP

Modern search engine that looking for books and documents around the web

Example: biology

INSURANCE IDENTIFICATION CARD - Free ACORD Forms

PERSONALCOMMERCIALAGENCY/COMPANY ISSUING CARDVEHICLE IDENTIFICATION NUMBERMAKE/MODELYEARINSUREDEXPIRATION DATEEFFECTIVE DATEPOLICY NUMBERCOMPANYCOMPANY NUMBER(STATE)SEE IMPORTANT NOTICE ON REVERSE SIDEINSURANCE IDENTIFICATION CARD ACORD CORPORATION 1983-2007. All rights 50 (2007/02)THIS CARD MUST BE KEPT IN THE INSUREDVEHICLE AND PRESENTED UPON DEMAND vehicle Name of INSURANCE Company and policy number for each1. Name and address of each driver, passenger and as possible. Obtain the following information:IN CASE OF ACCIDENT: Report all accidents to your Agent/Company asPERSONALCOMMERCIALAGENCY/COMPANY ISSUING CARDVEHICLE IDENTIFICATION NUMBERMAKE/MODELYEARINSUREDEXPIRATION DATEEFFECTIVE DATEPOLICY NUMBERCOMPANYCOMPANY NUMBER(STATE)SEE IMPORTANT NOTICE ON REVERSE SIDEINSURANCE IDENTIFICATION CARDUse pages 2 and 3 for front to back (2-sided) printing ACORD CORPORATION 1983-2007.

commercial personal agency/company issuing card year make/model vehicle identification number insured policy number effective date expiration date

Fullscreen Download

Tags:

  Form, Identification, Acord, Acord forms

Information

Domain:

Source:

Link to this page:

Please notify us if you found a problem with this document:

Spam in document Broken preview Other abuse

Transcription of INSURANCE IDENTIFICATION CARD - Free ACORD Forms

Documents from same domain

UMBRELLA / EXCESS SECTION DATE (MM/DD/YYYY)

acords.com

ACORD 131 (2013/12) $ $ VOLUNTARY Attach to ACORD 125 IMPORTANT - If CLAIMS MADE is checked in the POLICY INFORMATION section below, this is an application for a claims-made policy.

  Date, Section, Umbrella excess section date, Umbrella, Excess

AGENCY CUSTOMER ID: BUSINESS OWNERS SECTION

acords.com

REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) ACORD 160 (2014/12) AGENCY CUSTOMER ID: START TIME: END TIME: 24 HOUR OPERATIONS

  Customer, Agency, Agency customer id

AGENCY CUSTOMER ID: COMMERCIAL GENERAL …

acords.com

attach to acord 125 agency customer id: effective date carrier naic code policy number applicant / first named insured agency 4. retroactive date: 3. number of employees covered by employee benefits plans:

  Policy, General, Customer, Commercial, Agency, Agency customer id, Commercial general

WORKERS COMPENSATION APPLICATION DATE …

acords.com

16.are physicals required after offers of employment are made? acord 130 (2013/09) 15.are athletic teams sponsored? 13.any employees with physical handicaps?

  Date, Applications, Compensation, Worker, Workers compensation application date

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE

acords.com

EVIDENCE OF COMMERCIAL PROPERTY INSURANCE REMARKS - Including Special Conditions (Use only if more space is required) ACORD 28 (2014/01) Page 2 of 2

  Property, Commercial, Evidence, Insurance, Evidence of commercial property insurance

DWELLING FIRE APPLICATION DATE (MM/DD/YYYY)

acords.com

acord 84 (2013/09) explain all "yes" responses unless stated otherwise y / n 1.any other insurance with this company? (list policy numbers) line of business policy number line of business policy number

  Date, Applications, Fire, Dwelling, Dwelling fire application date

ACORD 0080 2013-09

acords.com

acord 80 (2013/09) years, at this or any location? any losses, whether or not paid by insurance, during the last $ applicant's initials: y / n if yes, indicate below loss history

  2013, 2013 09

CANCELLATION REQUEST / POLICY RELEASE

acords.com

insured mortgagee company loss payee lienholder finance company name and address request / release distribution producer's signature date reason for cancellation

  Policy, Date, Release, Request, Cancellation, Cancellation request policy release

PROPERTY SECTION DATE (MM/DD/YYYY) - Free …

acords.com

ded blkt # amount type blkt # amount type mine subsidence coverage (required in il, in, ky and wv) accept coverage reject coverage limit: $ type

  Date, Section, Property, Mm dd, Property section date

EVIDENCE OF PROPERTY INSURANCE - Frequently …

acords.com

loan # authorized representative name and address additional interest loss payee mortgagee additional insured remarks (including special conditions)

  Property, Evidence, Insurance, Evidence of property insurance

Related documents

ACORD 0080 2013-09 - hpiainfo.com

www.hpiainfo.com

ACORD 80 (2013/09) HOW LONG HAVE YOU KNOWN THE APPLICANT VEH #BOAT #ITEM # FORM NAME FORMS AND ENDORSEMENTS (Attach ACORD 829, Forms and Endorsements Schedule, if more space is required) LOC # FORM NUMBER EDITION DATE COPYRIGHT OWNER CODE SUSTAINED ACTUAL LOSS OF USE ** * Not Applicable in North Carolina Named Storm Percentage …

  Form, 2013, Acord, 2013 09

CANCELLATION REQUEST / POLICY RELEASE - Free ACORD …

acords.com

REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) New York Only: If you do not keep your auto insurance in force during the entire registration period, your motor vehicle registration will be suspended. If your vehicle is still uninsured after 90 days, your driver's license will be suspended.

  Acord

ACORD EVIDENCE OF PROPERTY INSURANCE

mymutual.net

the policy is subject to the premiums, forms, and rules in effect for each policy period. SHOULD THE POLICY BE TERMINATED, THE COMPANY WILL GIVE THE ADDITIONAL INTEREST IDENTIFIED BELOW ____________ DAYS

  Form, Insurance, Acord

AGENT/BROKER OF RECORD CHANGE DATE (MM/DD/YYYY) …

www.crvinsurance.com

The ACORD name and logo are registered marks of ACORD. Title: document Author: stat21 Created Date: 6/29/2015 11:16:00 AM ...

  Acord

WELCOME TO APPALACHIAN UNDERWRITERS, INC.

appund.com

commission statements, notices of cancellation, information on expiring policies, Forms and Applications repository, automated loss runs system, etc. • LIVE and Recorded Webinars - expand your knowledge with online trainings demonstrating products and services, including how to use our online raters.

  Form

CANCELLATION REQUEST / POLICY RELEASE DATE …

bsrinsurance.com

acord 35 (1/97) date (mm/dd/yy) producer code: sub code: agency customer id: company name and address naic code: policy type insured name and address policy number effective date and hour of cancellation cancellation date time am pm policy term effective date expiration date witness date witness date signature of named insured date signature of ...

  Acord

PROPERTY SECTION DATE (MM/DD/YYYY)

www.colonialgeneral.com

REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) MINE SUBSIDENCE COVERAGE (Required in IL, IN, KY and WV) ACCEPT COVERAGE REJECT COVERAGE LIMIT: $ TYPE VALU- DED ATION SUBJECT OF INSURANCE AMOUNT COINS % CAUSES OF LOSSINFLATION GUARD % DED BLKT …

  Acord

ACORD Certificate of Insurance - Houston

purchasing.houstontx.gov

The ACORD name and logo are registered marks of ACORD. Title: ACORD 25 (2010/05) Author: ACORD Corporation Created Date: 4/28/2011 9:36:41 AM ...

  Acord

ACORD COMMERCIAL GENERAL LIABILITY SECTION DATE

bsrinsurance.com

acord commercial general liability section date producer (a/c, no, ext): phone code: sub code: customer id: agency applicant (first named insured) effective date expiration date direct bill agency bill payment plan audit for company use only coverages limits claims made occurrence owner's & contractor's protective commercial general liability ...

  Acord

ACORD HOMEOWNER APPLICATION DATE (MM/DD/YYYY)

usibrokers.com

ACORD 80 (2002/01) Any person who knowingly and with intent to defraud any insurance company or another person files an application for insurance or statement of claim containing any materially false information, or conceals for the purpose of misleading information concerning any fact material thereto,

  Acord

Related search queries

ACORD, 2013-09, 2013/09, Forms, INSURANCE