ACORD 45 (2003/04) PDF – Fillable Additional Interest Form

ACORD 45 (2003/04)

Additional Interest

Form Number:

ACORD 45 (2003/04)

Category:

Property & Casualty

Last Updated:

April 2003

Page Count:

01 page

File Format:

PDF, Fillable PDF

Acord 45 Additional Interest

An Acord 45 form is often required to list entities with an insurable interest. The form usually covers a loss payee, mortgage holder, or lienholder for personal or commercial insurance policies. It notifies third parties of any change or cancellation of the insurance policy to maintain transparency and organization. Listing entities ensures legal compliance and mitigates financial risks.

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Benefits of the Acord Fillable 45 PDF Form

Provide Legal Protection

Listing the additional interests in the insurance policies provides legal protection for claiming any disputes.

Risk Management

A prior notification for change or cancellation of the insurance policy protects their interests.

Transparency

The Acord 45 form provides a standardized record for all stakeholders to ensure transparency and avoid miscommunication.

Prevents Financial Disputes

The form ensures claim payments are directed correctly by listing additional interests to reduce conflicts over fund distribution.

Key Sections of the Accord 45 Form Fillable

Agency Information

Includes insurance provider, agent, or broker details to ensure transparent communication.

Insured Details

Maintains the record of the applicant (insured) to understand who is requiring the form.

Policy Information

A listing of entities against a specific insurance policy to protect interests.

Additional Interest Details

Records the entities listing, such as the loss payee, mortgage, and lienholder of the additional interest.

Interest Type

Records the additional interest role, including loss payee or trustee, with the loan/reference number.

Item Description

Includes the details of interest in the item number.

How to Fill Out the Acord 45 Form Instructions

  1. Write the name, address, phone number, fax number, and customer ID code of the insurance agency.
  2. Write the applicant’s (insured) name, address, and phone number.
  3. Mention the insurance policy number, effective date, expiry date, and account number.
  4. Tick the additional interest role and rank (additional insured, loss payee, mortgage, lienholder, or employee as lessor).
  5. Write the additional interest name, address, and reference number.
  6. Mention the additional interest location, item, or scheduled item number.
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Frequently Asked Questions

The incorrect information on the form can cause delays. Ensure all fields are correctly filled before submission.

No, it is a supplement form for additional interest to ensure transparency and protect the interests.

  • Type acordform.net in any web browser to visit the homepage.
  • Look for the Acord additional form.
  • Click the download button.

It includes lienholders, loss payees, mortgagees, and trustees for assets like property, equipment, and vehicles.

Location, building, vehicle, boat, and other scheduled items can be linked to this form.

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ACORD 37

Statement of No Loss

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