ACORD 21 Form (2016/03) – Aircraft Insurance Certificate PDF
ACORD 21
Certificate of Aircraft Insurance
Form Number: 292_1a563e-66> |
ACORD 21 (2016/03) 292_11841d-28> |
Category: 292_f72cb7-f3> |
Property & Casualty 292_52307f-01> |
Last Updated: 292_a94bf8-0d> |
March 2016 292_c952f3-17> |
Page Count: 292_7096a7-c1> |
1 page 292_a0aa32-eb> |
File Format: 292_5d3d6e-b3> |
PDF, Fillable PDF 292_5af753-f6> |
ACORD 21 Form
The adequate insurance of an aircraft protects the policyholder from financial loss and legal disputes due to an accident. An Acord 21 form is a standardized document and serves as proof that a specific aircraft has enough insurance coverage. It is not an insurance policy, but it summarises all insurance coverage and acts as a certificate of insurance. In the aviation industry, aircraft owners, pilots, lessors, and other staff require this certificate to get permission for operations. An insurance agent or broker issues this certificate under the terms and conditions of the Association of Cooperative Operations and Research Department (ACORD).
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Benefits Of Acord 21
Fulfill Legal Requirements
Insurance companies, airports, and the Federal Aviation Administration require this form to comply with legal requirements and avoid potential consequences.
Financial Protection
The Acord certificate of aircraft insurance protects the owners, pilots, and other staff from financial loss after an unforeseen incident.
Seamless Operations
This certificate allows aircraft owners to perform operations without any barriers. It ensures quick access to agreements in the aviation industry.
Instant Claim Approval
If an accident occurs, the timely submission of this form helps facilitate the claim process for the loss. The insurer will only pay the deductible amount, while the insurance company will pay the remaining amount.
Key Sections of the Fillable Acord 21
Date and Policyholder Details
Includes the producer and policyholder information to understand the insurance policy.
Policy Information
Records for the insurance policy type and line of business to authorise the aviation operations.
Aircraft Coverage
Contains comprehensive details of insured aircraft, its coverage, and limitations of deductible amounts, with additional information.
Remarks
Description of the aviation operation with additional remarks to make transparent communication.
Clause and Signature
Understand the cancellation clause before expiration and ensure the authorized representative’s signature is obtained.
How to Complete Acord 21 Aircraft Certificate
- Write the date of issuance of the certificate.
- Write the name, address, and phone number of the insurance broker or agent.
- Name, address, contact number, and email address of the aircraft owner or pilot.
- Mention the insurance policy certificate number, revision number, policy type, and line of business’s subcode.
- Write the manufacturer year, make, model, serial, and registration number of an aircraft.
- Write the aircraft coverage details, including policy number, effective and expiration date, coverage types, and limitations.
- Communicate a description of aviation operations.
- Write down the policyholder’s name, address, and contact number.
- Mention the cancellation clause before the policy expires.
- Get the signature of an authorized representative.
Frequently Asked Questions
Related Forms
ACORD 3
Property Loss Notice
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ACORD 4
Workers Compensation
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ACORD 20
Certificate of Aviation Liability
commonly used to certify liability insurance coverage for aviation-related risks