ACORD 23 Form (2016/03) Vehicle Insurance Certificate Fillable

ACOR 23 (2016/03)

Vehicle or Equipment Certificate of Insurance

Form Number:

ACORD 23 (2016/03)

Category:

Property & Casualty

Last Updated:

March 2016

Page Count:

01 page

File Format:

PDF, Fillable PDF

ACORD 23 Form

An Acord 23 is a legal certificate of proof that a specific vehicle or equipment has adequate liability insurance. The insurance agent or broker issues this form for rental agreements, loans, fleet management, and vehicle leases. The fillable Acord vehicle or equipment certificate of insurance ensures transparent communication between the insurer, the policyholder, and all involved third parties. It helps mitigate financial loss during commercial and personal insurance transactions.

Form Preview

Benefits of the Accord 23 PDF Form

Proof of Active Coverage

It serves as proof that a specific vehicle or equipment has active insurance coverage to assure lenders or lessors of protection against risks.

Facilitates Leasing Agreement

Provide required proof of insurance, including a prerequisite for equipment or vehicle lease to enable smooth leasing transactions.

Customizable for Specific Assets

The Acord 23 fillable form provides detailed equipment or vehicle information to ensure coverage meets the assets’ requirements.

Minimize Fraud Risks

The authorized representative’s signature of an insurance agent improves the protection and mitigate the fraud risks.

Key Sections of the Fillable Acord 23

Vehicle Description

Includes manufacturing year, make, model, and vehicle identification number (VIN).

Date and Policyholder Details

Contains producer and policyholder details to streamline communication.

Coverage

Maintains the record of insurance type, certificate number, revision number, and effective and expiration date.

Additional Interest Details

Includes the type of additional interest, along with name and address, to understand the insurance policy.

Authorized Signature

The authorized signature makes the certificate valuable and mitigates fraudulent activities.

How to Complete ACORD 23 Template Form?

  1. Write the date of issuance.
  2. Mention the producer and policyholder details, including name, address, and contact number.
  3. Write the vehicle or equipment details, including manufacturing year, make, model, body type, VIN number, serial number, value, and description.
  4. Write the certificate number, revision number, insurance type, policy number, effective date, expiration date, and limits.
  5. Tick the vehicle or equipment additional interest type, description, name, and address.
  6. Ensure the cancellation clause.
  7. Get the signature or authorized representative.
Download PDF Fill Online Print Form

Frequently Asked Questions

It is often required to ensure insurance coverage that the specific vehicle or equipment is protected against risks like theft or damage.

A lender asks the insurance company to pay out if the equipment or vehicle is damaged or lost.

Most contractors or fleet managers use this form for leasing, financing, or renting equipment or vehicles.

You must provide policy details, vehicle or equipment specifications, coverage limits, effective and expiration dates, and loss payee details.

All types of vehicles or equipment with a serial and VIN number, including cars, machinery, or trucks.

You must complete the form accurately and submit it to the insurance agent. However, you can submit it electronically after verification from the insurance broker.

Related Forms

ACORD 22

Intermodal Interchange Certificate of Insurance

Used to provide proof of insurance coverage for motor carriers or transportation companies

ACORD 22

ACORD 21

Certificate of Aircraft Insurance

Standardized form used for reporting aircraft insurance coverage

ACORD 21

ACORD 20

Certificate of Aviation Liability

commonly used to certify liability insurance coverage for aviation-related risks

ACORD 20