ACORD 125 Fillable Form | Commercial Insurance Application PDF

Commercial Insurance Application

ACORD 125 (2016/03)

Commercial Lines

March 2016

04 page

PDF, Fillable PDF


Business owners often require the Acord 125 form to apply for commercial insurance coverage, including general liability, property, and business auto. The form collects the applicant, business, required coverage details, and loss history to help insurers determine the risk for property. Accurate completion of the form ensures protection for property, liability, and auto insurance.


The Acord 125 PDF form ensures customized property, liability, and auto insurance coverage to assess prior risks.

The enhanced coverage details help insurers to analyze the coverage and approve the commercial policy to avoid delays.

The form includes the details of additional interest to inform the coverage, allowing financial protection against prior risks.

The comprehensive information on the form ensures transparent communication between the applicant, the insurance agent, and the insurer to reduce disputes over claims.


Records the identity of the applicant to ensure transparent communication for insurance coverage.

Help the insurer analyze risk exposure for customized property, liability, and auto insurance coverage.

Records the insurance history to help insurers make underwriting decisions.

Contains the record for any loss to evaluate past risks that impact the premium calculations.

Fulfills the business requirement and specifies the application scope.


  1. Write the insurance agent’s name, address, phone number, fax, email, and customer ID.
  2. Write the carrier’s name and NAIC number.
  3. Mention the policy number and status of the transaction.
  4. Mention the line of business and write the premium.
  5. Tick the boxes for attachments.
  6. Write the policy’s effective date, expiration date, billing method, and premium deposit.
  7. Write the applicant’s name, residential address, phone number, and website details.
  8. Mention the premises information details, including location, building number, address, limits, interest, and coverage.
  9. Tick the box for the nature of the business and write the description.
  10. Write the additional details, including name, address, items, loan number, and reason for interest.
  11. Answer the questions for general information.
  12. Write the general liability, automobile, property, and other prior carrier details.
  13. Write the date, description, claim, amount paid, and subrogation status of the loss history.
  14. Get the applicant’s and the producer’s signatures to validate the form.

Applying for a commercial insurance policy, including property, general liability, and commercial auto coverage, is often required.

The business type and loss history details help insurers design policies to mitigate risks.

It contains details of business operations to ensure coverage aligns with the risks.

Yes, the form can also be used to update the business details or coverage needs to ensure coverage accuracy.

The form meets the legal requirements and collects the applicant, business, loss history, premises coverage, and prior carrier’s details to enhance coverage.

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