ACORD 83 (2016/04) Form – Personal Umbrella Application
ACORD 83 (2016/04)
Personal Umbrella Application
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Form Number: |
ACORD 83 (2016/04) |
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Category: |
Personal Lines |
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Last Updated: |
April 2016 |
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Page Count: |
06 pages |
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File Format: |
PDF, Fillable PDF |
Acord 83 Personal Umbrella Application
Policyholders often require the Acord 83 form to apply for personal umbrella insurance to protect their additional assets and liabilities. The form provides the applicant’s assets, primary insurance, and risk factors to the insurers for tailored coverage. The application enhances liability protection for auto, watercraft, or homeowners insurance. All states in the U.S. accept the Acord umbrella application developed by the Association for Cooperative Operations Research and Development (ACORD).
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Benefits of Using the Acord Fillable 83 PDF Form
Legal Compliance
The Acord 83 form meets the legal requirements of the state’s law to avoid circumstances.
Enhanced Coverage
The form ensures additional liability coverage in the primary insurance to protect against diverse risks.
Transparent Document
The Acord personal umbrella application ensures transparent, structured data to avoid miscommunication and delays.
Asset Security
Due to liability claims, the form protects assets from financial loss, including home, savings, or investments.
Key Sections of the Umbrella Acord 83
Agency Details
Includes the agency details for transparent communication with the insurance agents or brokers.
Applicant’s Information
Verifies the insured’s identity for communication between the insurer and the applicant for policy issuance.
Primary Insurance Details
Records the primary insurance policy for enhanced umbrella insurance coverage to protect the assets and liabilities.
Assets and Liabilities
Contains the applicant’s net worth and liability exposure, providing adequate protection for high-value assets.
Coverage Requests
Ensures the customized coverage to fulfill the applicant’s requirement to align with asset value and risk profile.
Additional Interest
Records the additional interest details to ensure proper notification of policy change to protect the stakeholders.
Signature
The applicant’s and the authorized representative’s signatures on the Acord 83 fillable form are important for validating the application.
How to Fill Out the Acord 83 Personal Umbrella Application?
- Write the insurance agent’s name, address, phone number, fax, email, and custom ID.
- Write the applicant’s name, residential address, phone number, and email.
- Mention the limits and premiums of uninsured assets and liabilities.
- Mention the payment method for premiums.
- Write the comprehensive details of the primary insurance policy.
- Write the description of the leased or occupied property.
- Mention the details of the owned, leased, or furnished auto, including the year, make, model, and body type.
- Write the description of all watercrafts, including year, manufacturer, model, length, horsepower, and high speed for regular usage.
- Write detailed information about all vehicle or watercraft operators.
- Tick the boxes to answer the general questions.
- Tick the box for your relevant state.
- Get the authorized representative’s and applicant’s signature
Frequently Asked Questions
Related Forms
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ACORD 70
Policyholders require the Acord 70 form to request that insurers change their personal insurance policies (except auto).
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ACORD 71
Acord 71 form serves as a legal document for a personal auto policy change request in the insurance industry
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ACORD 80
The form ensures the desired coverage to protect home and personal property from financial loss