Version 1.3.1027.0213

Form Num Form Name !Type of Form Line of Business State/ Region Edition Keywords Application Indicator
9 South Carolina Required Notice for Insurance Applications Personal Auto SC 2018/07 Non App
35 Cancellation Request/Policy Release Agency 2017/05 LPR; Lost Policy Release; Cancel Request; Cancellation Request Non App
50 Arizona Insurance Identification Card Proof Auto AZ 2018/08 ID CARD; AUTO ID Non App
50 FL Personal Auto ID Card Proof Auto FL 2017/12 ID CARD; AUTO ID Non App
50 LA Auto ID Card Proof Auto LA 2018/10 ID CARD; AUTO ID Non App
50 Texas Liability Insurance Card Proof Auto TX 2018/09 ID CARD; AUTO ID Non App
60 Kentucky Auto Supplement Personal Personal Auto KY 2017/11 Application
60 Massachusetts Property Insurance Underwriting Association Application for Homeowners Insurance Personal Homeowners MA 2017/11 Application
60 Massachusetts Property Insurance Underwriting Association Application for Homeowners Insurance Personal Homeowners MA 2018/09 Application
61 Colorado Auto Supplement Personal Personal Auto CO 2018/04 Application
61 CT Auto Supplement  UM Coverage Personal Personal Auto CT 2018/01 Application
61 DE Auto Supplement; Delaware Motorist’s Protection Act Personal Personal Auto DE 2017/12 Application
61 DE Auto Supplement; Delaware Motorist’s Protection Act Personal Personal Auto DE 2018/06 Application
61 Massachusetts Property Insurance Underwriting Association Instruct. for Completing Homeowners App ACORD 60 MA Personal Homeowners MA 2017/11 Application
62 NJ Auto Supp Basic Policy Coverage Personal Personal Auto NJ 2018/05 Application
64 NJ Auto Supp Standard Policy Coverage Personal Personal Auto NJ 2018/05 Application
64 New York Auto Supplement Personal Personal Auto NY 2017/09 Application
64 New York Auto Supplement Personal Personal Auto NY 2018/06 Application
64 Rhode Island Joint Reinsurance Association; Application for Homeowners Insurance Personal Homeowners RI 2018/01 Inspection; Placement Application
65 Massachusetts Property Insurance Underwriting Association Application for Dwelling Fire and Liability Insurance Inspection and Placement Personal Property MA 2017/11 Application
65 Massachusetts Property Insurance Underwriting Association Application for Dwelling Fire and Liability Insurance Inspection and Placement Personal Property MA 2018/09 Application
65 New Jersey Property Insurance Supplement Personal Property NJ 2017/04 Application
66 Colorado Personal Property Supplement; Summary of Coverage; Condominium Policy Personal Property CO 2018/02 Colorado Personal Property Supplement; Summary of Coverage; Condominium Policy Application
67 Maryland Personal Auto Supplement Personal Personal Auto MD 2018/07 Mandatory Offer of Increased Liability Coverage for Claims of Family Members at an Additional Premium (New Business); Mandatory Personal Injury Protection Waiver; and Mandatory Uninsured Motorist Coverage Waiver for Private Passenger Motor Vehicle Liability Insurance in the State of Maryland Application
67 New Jersey Underwriting Insurance Association Personal Dwelling NJ 2018/06 Application
68 New Jersey Insurance Underwriting Association – Commercial Fire Application Commercial Property NJ 2018/06 Application
90 Maryland Personal Automobile Application Personal Personal Auto MD 2018/07 Personal Automobile Application; Auto Application; Classic Auto; Antique Auto; Recreational Vehicle; Motor Home; Motorcycle; Broad Form; Named/Non-owned Application
95 Maryland Required Notice of Uninsured Motorist (“UM”) Coverage and Enhanced Underinsured Motorist (“EUIM”) Coverage and Option Selection Form Personal Auto MD 2018/07 Application
130 Workers Compensation Application Commercial Workers Comp 2017/05 Application
131 Umbrella / Excess Section Commercial Umbrella 2017/11 Application
133 Workers Compensation Insurance Plan Commercial Workers Comp 2017/12 Application
137 New Hampshire Commercial Auto Commercial Business Auto NH 2018/05 Limits Section Application
212 Commercial Umbrella Underlying Schedule Commercial Schedule 2017/09
290 Maryland Personal Auto Application Section Personal Personal Auto MD 2018/07 Application
304 NFIP – Flood Insurance Cancellation / Nullification Request Form Flood Flood 2018/08 Cancellation Application
502 Contract Bond Request Form BOND 2018/08 Non App
760 Illinois Important Notice Regarding Replacement LHA Life IL 2017/06
760 A Indiana Notice Regarding Replacement LHA Life IN 2018/01
760 B Indiana Notice Regarding Replacement LHA Life IN 2018/01
854 California FAIR Plan Property Insurance Personal Dwelling CA 2017/11
951 1034 Exchange / Transfer / Rollover Form LHA 2017/06
951e 1035 Exchange / Transfer / Rollover eForm LHA 2017/06