ACORD 823 Fillabel PDF – Additional Premises Information

ACORD 823 (2009/09)

ADDITIONAL PREMISES INFORMATION SCHEDULE

Form Number:

ACORD 823 (2009/09)

Category:

Insurance Forms

Last Updated:

September 2009

Page Count:

01 page

File Format:

PDF, Fillable PDF

Download Form Fill Form

ACORD 823

When applying for commercial insurance, insurers require all necessary and accurate details about every business location. The Acord 823 form is a standardized document, which is specifically designed to collect this information in an organized way. Additionally, the form ensures that insurers have all essential information for underwriting and policy information. Businesses can download, fill out, and submit the form to provide insurers with information about their additional premises and operations. Access our online fillable and downloadable PDF form today.

Form Preview

Benefits of the Acord 823 PDF

Easy Integration

The Acord 823 form attaches easily to the Acord 125 (Commercial Insurance Application) and other required Acord forms, making the application straightforward.

Fraud Protection Statement

The form includes fraud notices that protect both applicants and insurers by reminding all parties of the legal consequences of providing false or misleading information.

Risk Evaluation

The form lets businesses list the number of full-time and part-time employees at each location, helping insurers assess operational risks and workers’ compensation exposure.

Key Sections of The Additional Premises Information Schedule

Header Section

This section describes the agency customer ID.

General Information

It includes insurance and insured information, such as agency name, carrier, effective date, NAIC code, policy number, and name insured.

Premises Information Section

The premises section describes location and building number, address details, city limit status, ownership type, staffing details, annual revenue, area details in square footage, and leased, etc.

How To Complete The Accord 823 Fillable Form?

  1. Insurance & Insured Information: Provide the insurance information, including agency name, carrier, NAIC code, policy number, named insured, and effective date of application.
  2. Premises Details: Specify each location or premises, including location and building number, address, city limits, ownership type, number of employees, revenue, square footage, lease status, and operation description.
Download PDF Fill Online Print Form

Frequently Asked Questions

It is a commercial insurance supplement that provides additional information about additional business premises beyond the main location, ensuring insurers have accurate and structured data of each property to assess risks.

No, there is no need to fill out this form. It is only required if you have multiple businesses.

You can list as many businesses as you can. If the space is not enough, you can attach additional pages.

Yes. The form includes a leased premises section to indicate whether the building is leased or owned by the applicant.