ACORD 126 PDF – Fillable Commercial General Liability Form

Commercial General Liability Section

ACORD 126 (2016/03)

Commercial Insurance

March 2016

04 page

PDF, Fillable PDF


Commercial businesses often need general liability insurance to protect against liability risks, including bodily injury or property damage claims. The Acord 126 form meets the legal requirements and helps the insurer assess the business’s liability risk. The form ensures tailored liability coverage and risk assessment and avoids delays to enhance workflow.


The Acord 126 form’s schedule of hazards section provides the insurer with specific risk details that help mitigate potential liability claims.

The exposure information section ensures precise data to calculate premiums. The insurer assesses the actual risk profile and reduces overpayment.

The form allows business to expand their locations, ensuring liability coverage and protection with growth.

The loss history section provides records for past accidents, allowing insurers to recommend safety measures to reduce future incidents and lower premiums.


The customized coverage specifies insurance scope that fulfills the business requirements.

The exposure details on the Acord 126 fillable form help the insurer identify risk sources and ensure an accurate risk assessment.

Ensures the premiums calculations and avoids overpayment and impacts cost accuracy.

Records the claim’s details to evaluate past risks and make appropriate underwriting decisions.

The additional insured and certificate holder’s details fulfills the contractual requirements and ensure liability protections.


  1. Write the agency’s name, policy number, NAIC number, and insured’s name.
  2. Mention the coverage, limits, and write premiums.
  3. Write the location number, hazard number, exposure, premium, and classification description.
  4. If any claim is made, write the explanation.
  5. Write the employee benefit liability details.
  6. Explain the past and present operations’ responses.
  7. Write the product’s operational responses.
  8. Write the name, address, item number, and description of the additional interests involved.
  9. Provide the answers to general questions about the business.
  10. Write the remarks.
  11. Get the applicant’s and producer’s signatures with the date to validate the application.

The form provides exposure and loss details of a business to the insurer to underwrite the liability coverage. The adequate coverage protects the businesses against bodily injury or property damage claims.

The form is often required to apply or modify a commercial general liability insurance to protect businesses from liability claims.

The section records the risks and exposure to analyze the potential liabilities, which is important for accurate policy design.

Yes, the form is required to ensure that the new carrier’s information reflects the business’s enhanced liability coverage and exposure.

The form informs insurers of past risks, which helps calculate premiums and provide safety recommendations to lower costs and claims.

Related Forms

Business owners often require the Acord 125 form to apply for commercial insurance coverage, including general liability, property, and business auto

Policyholders often require the Acord 83 form to apply for personal umbrella insurance to protect their additional assets and liabilities

Policyholders, insurers, and insurance providers often require the Acord 101 fillable form to provide remarks or details on the primary form.