ACORD 128 (2015/12) Form – Garage and Dealers Section PDF

Garage and Dealers Section

ACORD 128 (2015/12)

Commercial Lines

December 2015

04 page

PDF, Fillable PDF


Auto repair shops, parking facilities, and car dealerships need the Acord 128 fillable form to ensure accurate commercial garage and dealer insurance coverage. The form protects the vehicle from damage or liability risks during care, custody, or control. Detailed information enables insurers to assess potential risks more effectively, reduce errors, and prevent delays.


The garage keeper section includes coverage for the customer’s vehicle, protecting the business from liabilities during repairs or storage.

The driver’s record helps the insurer determine driving risks and implement safety measures to reduce premiums.

The additional interest section records the third-party interests to meet the loan or lease agreements, which helps reduce contractual disputes.

The Acord 128 fillable form ensures structured data, which helps reduce errors and streamline the policy issuance.


Records the business type, service, and location to define operational risks and ensure tailored coverage.

Ensures coverage type and vehicle in care to address custody liabilities and protects customer vehicles.

The Acord 128 form collects the driver’s information to assess driver risk and ensure accurate premium calculation.

Includes physical damage, liability, and deductibles to specify policy scope and align with business needs.

Meet the contractual requirements and record the third-party interests to prevent the underwriting delays.

  1. Write the agency’s and carrier’s names, address, NAIC, policy number, and effective date.
  2. Tick the boxes for auto service operations, auto dealers, and vehicle storage.
  3. Write the location number of the operator’s class.
  4. Tick the boxes for the coverage of comprehensive, specified perils, and collisions.
  5. Write the driver’s name, address, gender, marital status, date of birth, experience, license number, and usage details.
  6. Explain all yes responses for the general information.
  7. Write the additional interest’s name, address, item number, description, and reference number.
  8. Write the additional remarks to ensure enhanced coverage.
  9. Get the producer’s and applicant’s signatures to validate the insurance coverage.

It records the vehicle’s details and activities, including test drives to ensure protection for losses, which is important for dealership operations.

It ensures coverage for the customer vehicle to protect the business from damage or loss during service.

The operations and driver’s information make it easy for insurers to verify claims and improve resolutions.

  • Type the acordforms.net in any web browser.
  • Search for the Acord Garage and Dealer Section Form.
  • Click the download button to save it on your device.
  • Also, fill out the form online and get an instant printout.

Open the form in any PDF editor and fill it out according to the instructions.

Related Forms

An Acord 127 fillable form is often used to enhance business auto insurance coverage.

Commercial businesses often need general liability insurance to protect against liability risks, including bodily injury or property damage claims.

Acord 71 form serves as a legal document for a personal auto policy change request in the insurance industry.