ACORD 63 Form Online – Insurance Fraud Notice Compliance

ACORD 63 (2024/02)

General Fraud Statement

Form Number:

ACORD 63 (2024/02)

Category:

Regulatory Forms

Last Updated:

February 2024

Page Count:

01 page

File Format:

PDF, Fillable PDF

Acord 63 General Fraud Statement

An Acord 63 form notifies policyholders that they face legal consequences for providing false or misleading information in their personal or commercial policies. Insurers, agents, or policyholders use the Acord fraud statement form in various states to ensure transparency and reduce fraudulent activities. It is commonly attached to other insurance policies (Business or Commercial) to meet state laws and regulations and promote honesty.

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Benefits of Using the Acord Fillable 63 Form

Legal Compliance

The form serves as a legal document to comply with state law and ensure transparency in validating the insurance policy.

Risk Deduction

The statement discloses the insurance policy with transparency to reduce the risk arising from fraudulent activities.

Minimize Claims Denials

The statement ensures that accurate information on the insurance policy is provided, which minimizes claims denials.

Support Multi-State Operations

Various states in the United States require the general fraud statement to meet the compliance requirements for insurance policies.

Key Sections of the Acord 63 Form Fillable

State-Specific Fraud Statements

Includes a warning statement about different states to avoid legal consequences for fraudulent activities.

General Fraud Warning

Contains the statement for states without specific requirements, reducing false claims.

Applicant Acknowledgement

The applicant’s signature ensures warning Acknowledgement for the policyholders.

How to Fill Out the Acord 63 General Fraud Statement?

  1. Click the download button to access the form.
  2. Identify the state where the policy is written and write the state’s fraud statement.
  3. If the policy is not state-specific, mention the general fraud warning on the form.
  4. Review the fraud statement and explain it to the policyholder.
  5. After confirmation, attach the form to the primary insurance policy.
  6. Submit it to the insurance agent for further processing.
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Frequently Asked Questions

The form helps policyholders understand the consequences of fraud and reduce disputes regarding false claims.

No, it is a statement form ensuring claims behavior by mentioning fraud penalties.

The form is often required for general liability, business auto, homeowners, and property insurance policies.

Basically, the policyholder acknowledges the fraud warnings on the form through the main applicant’s signature.

Attach the form to the primary insurance policy and submit it to your insurance provider through email or fax.

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