ACORD 137 Insurance Form – State Auto Coverage Application

ACORD 137 (2015/02)

Commercial Auto Application

Form Number:

ACORD 137 (2015/02)

Category:

Commercial Auto Insurance

Last Updated:

February 2015

Page Count:

03 pages

File Format:

PDF, Fillable PDF

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Commercial Auto Acord 137

The Acord 137 form is a document used by agents and brokers handling commercial auto insurance. It collects all state-specific coverage and necessary information for business auto policies, ensuring accuracy and compliance in every submission. Download the fillable form now or complete it online and avoid unnecessary delays.

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Benefits of Using Acord 137 Form

Easy to Update

When the policy changes, you can instantly edit the application and resubmit it without starting from scratch, allowing applicants to save time and effort

State-Specific Coverage

The form provides a standardized way to choose or reject optional coverages, meeting state-specific filing and policy requirements, ensuring your application complies with local regulations.

Avoids Compliance Issues

It meets California’s unique commercial auto insurance requirements. Additionally, it helps agents and insureds to document state-mandated coverages, including UMPD and UMBI, avoiding compliance issues.

Clear Vehicle Coverage Symbols

Auto acord 137 form uses clear vehicle symbols to identify which motors or vehicles are covered under which part of the policy.

Key Sections Of Fillable Acord 137

Agency and Insurance Information

This section describes the information related to insurance and the insured. It includes the agency name, customer ID, insured name, address, phone number, carrier name, NAIC code, policy number, and effective coverage date.

Business Auto Section

It captures the details related to selected coverage, deductibles for owned, hired, and non-owned autos, as well as limits, symbols, and uninsured motorists. Additionally, it describes insurance or uninsured motorists, medical payments, liability coverage, physical damage, and other relevant aspects.

Truckers and Motor Carrier Section

The section specifies truckers and motor carriers, including radius, zone, trailer interchange coverage, number of trailers, applicable symbols for motor carriers, and deductible information.

Vehicles and Coverage Symbols

It describes which vehicles are covered, categorized by symbol codes, defining their use and type, such as private, borrowed, non-owned, private passenger autos, and trailers.

Leased and Non-Owned Auto Details

It contains information on hired and non-owned vehicles liabilities, coverage states, cost of hire, group type, partners, and volunteers.

Remarks

Specifies any additional coverages, endorsements, or notes, with an option to attach Acord 101 PDF for additional notes.

Signature

This is the final section that requires signatures from both the applicant and the agent, including the dates and the national procedure number.

How to Fill Out Acord 137 PDF Form?

  1. Download the Form: Download Acord 137 form or access it online.
  2. Agency & Policy Details: Write the agency name, customer ID, insured name, address, carrier name, NAIC code, effective date of coverage, and policy number.
  3. Limit Section: List state-specific coverage and limits required in California.
  4. Business Auto Details: Choose the covered auto symbols, enter combined single limits, and indicate deductibles for collision.
  5. Trucker’s Information: Specify coverages and limits for trailers, trailer interchange agreements, radius, number of trailers, and truckers’ symbols to identify the vehicle type covered.
  6. Motor Carrier Details: Indicate the motor carrier symbols and write limits and deductibles.
  7. Hired & Non-Owned Liability: Specify whether coverage applies and in which states, the cost of hiring, and the number and type of personnel included.
  8. Remarks: If additional document or space is required, attach an Acord 101 Additional Remarks Schedule.
  9. Signatures: Sign the form with your date to acknowledge your coverage selections, rejections, and compliance with California’s insurance.
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Frequently Asked Questions

The 137 form is used to describe state-specific coverages and limits while applying for commercial auto insurance in California, ensuring the insured’s selection, rejection, and acknowledgements comply with California law.

Of course, as it is a state-specific supplement, it must be completed and submitted separately for each state where coverage is required.

UMPT (Uninsured Motorists Property Damage) covers damage to your vehicle caused by an uninsured driver. California law requires that UMPD be offered. You can choose or reject it for each vehicle.

The covered auto symbols are used to identify which vehicles are covered under specific coverages. You choose the appropriate symbols from 1 to 71 based on your operations, like owned, hired, or trailer interchange vehicles.

An incomplete or missed selection may result in delays or rejection. Ensure that you review and select state-specific sections carefully before submitting.

Yes. The form requires additional standard ACORD forms, such as Acord 127, Acord 132, and Acord 101.

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