ACORD 71 Personal Auto Policy Change – Fillable Form Online
ACORD 71 (2012/03)
Personal Auto Policy Change Request
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Form Number: |
ACORD 71 (2012/03) |
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Category: |
Personal Lines |
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Last Updated: |
March 2012 |
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Page Count: |
02 page |
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File Format: |
PDF, Fillable PDF |
Acord 71 Fillable
An Acord 71 form serves as a legal document for a personal auto policy change request in the insurance industry. Policyholders require the fillable acord form to request policy changes, including adding vehicles, updating driver information, or modifying coverage limits. The form ensures transparent communication between policyholders and insurance providers to reduce financial loss due to unforeseen accidents.
Form Preview
Benefits of Using the Acord Fillable 71 Form
Ensures Policy Customization
The form allows the policyholders to customize their auto policy to reflect new vehicles or drivers for legal protection.
Minimize Claims Disputes
The accurate information provided on the form ensures coverage transparency, reducing conflicts during claims.
Promotes Financial Clarity
The flexible billing plans (monthly to annual) promote financial clarity for the premiums.
Support Multi-Vehicle Policies
Policyholders can customize their policies for multiple vehicles to improve security and lower premiums.
Key Sections of the Acord Auto Policy Change Form
Agency Information
The form includes the agency’s detailed information to facilitate the change request and help insurers contact the agency for clarification.
Insured Information
Helps identify the policyholder requesting the policy changes to be applied to the correct policy.
Policy Details
Specify the customized policy details, and ensure accurate processing by the insurer.
Driver Information
Records updating the driver’s information, which impacts discounted premiums and coverage eligibility.
Vehicle Information
Accurate updation, deletion, or addition of the vehicle information helps calculate the premiums to lower the financial risks.
Coverage Changes
Modifying the policy’s coverage helps the policyholder to align the policy with the needs for premiums and claims eligibility.
Additional Remarks
Ensures clarification for the policy changes to the insurers, reducing errors and speeding up the process.
How to Fill Out the Acord 71 PDF Form?
- Write the agency’s name, address, contact number, and customer ID.
- Write the insured’s name, residential address, and account number.
- Mention the insurance company’s name, NAIC number, policy number, effective date, expiration date, and change billing plan.
- Mention the vehicle information, including year, make, model, vehicle identification number (VIN), usage, and safety features.
- Write the premiums, type of change, and deductibles for the coverage limits.
- Write the driver’s name, gender, date of birth, license number, and social security number.
- Mention the additional interest’s name, address, and loan number.
- Write additional remarks on the policy change.
Frequently Asked Questions
Related Forms
Personal Lines
ACORD 70
Policyholders require the Acord 70 form to request that insurers change their personal insurance policies (except auto).
Property & Casualty
ACORD 45
Acord 45 form is often required to list entities with an insurable interest. The form usually covers a loss payee, mortgage holder, or lienholder for personal or commercial insurance policies.
Insurance Forms
ACORD 37
To reinstate or renew an insurance policy, the insurer requires proof of no losses, accidents, or claims occurring during a specified period.