ACORD 70 (2007/10) Form – Personal Policy Change Request

Personal Policy Change Request (Except Auto)

ACORD 70 (2007/10)

Personal Lines

October 2007

03 page

PDF, Fillable PDF


Policyholders require the Acord 70 form to request that insurers change their personal insurance policies (except auto). The form allows insurance providers to add, change, or delete the coverage limits to ensure transparency. The change in the personal insurance policies, including homeowners, dwelling fire, inland marine, or umbrella coverage, fulfills the legal requirements.


The form allows policyholders to request multiple policy changes, including dwelling fire, homeowners, watercraft, mobile home, and marine inland.

The amendment in the billing plans ensures feasible billing adjustments (direct bills).

The mortgages or insureds with loan details ensure transparency and protection.

The accurate completion of the form reduces processing errors and minimizes miscommunication between insurers and agents.


Insurance agents or brokers’ details are included to ensure proper communication during the policy change request.

Provides the insured’s details to understand who is requesting the changes.

Records the insurance policy details to ensure that changes are made to a specific policy.

The change in coverage/liability enhances communication and ensures a smooth claim process.

The additional coverage in the policy ensures coverage limits, construction details, or device protection.

The policy changes’ additional remarks avoid miscommunication, and the authorized representative’s signature reduces fraudulent claims disputes.


  1. Write the agency’s name, address, contact details, and customer ID.
  2. Write the insured’s name, address, and account number.
  3. Mention the policy type, number, effective date, NAIC number, and expiration date.
  4. Write the specific changes, limits, and premiums.
  5. Mention the type of change, information, form number, date, and premiums for optional coverage types.
  6. Complete the homeowners, dwelling fire, mobile home, personal inland marine, watercraft, and umbrella coverage details.
  7. Write additional remarks to ensure transparent communication regarding changes.
  8. The authorized representative must sign the form to validate the process.

It includes mobile homes, homeowners, watercraft, umbrellas, inland marine, and dwelling fire policies.

Insurance agents, policyholders, and insurers need the form to update the policy, except for auto.

You can request the changes for additional insureds, billing plans, coverage limits, or dwelling details.

No, you can only request a personal insurance policy change in the form.

Yes, you can write the mortgagee’s name, address, and loan number in the additional interest section.

Related Forms

Acord 63 form notifies policyholders that they face legal consequences for providing false or misleading information in their personal or commercial policies.

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.

To reinstate or renew an insurance policy, the insurer requires proof of no losses, accidents, or claims occurring during a specified period.