ACORD 333 (2009/05)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 333 (2009/05)
Aircraft Schedule
ACORD 333, Aircraft Schedule, is used when additional space is
required to list aircrafts.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Page #
Enter number: The page number applicable to this page.
IDENTIFICATION SECTION of Total Pages
Enter number: The total number of pages applicable to this form (e.g., Page 1 of 4). If
only one page, indicate Page 1 of 1.
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION Named Insured
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION Policy Number
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
IDENTIFICATION SECTION Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
IDENTIFICATION SECTION Carrier
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
IDENTIFICATION SECTION Carrier %
Enter percentage: The percentage interest the insurer has in the policy.
IDENTIFICATION SECTION NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
AIRCRAFT INFORMATION
Aircraft #
Enter identifier: The producer assigned aircraft number.
AIRCRAFT INFORMATION
Registration Number
Enter identifier: The registration number of the aircraft (a.k.a. tail number).
AIRCRAFT INFORMATION
Base Airport ID
Enter code: The Federal Aviation Administration's designator for the airport where this
aircraft is based (e.g. ORD - O'Hare International Airport).
AIRCRAFT INFORMATION
Year
Enter year: The year of the aircraft.
AIRCRAFT INFORMATION
Make
Enter text: The manufacturer of the aircraft.
AIRCRAFT INFORMATION
Model
Enter text: The model of the aircraft.
AIRCRAFT INFORMATION
Serial #
Enter identifier: The serial number of the aircraft.
ACORD 333 (2009/05)
1 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Aircraft Type
Enter code: The type of aircraft. Valid codes are:
1 - Glider
2 - Balloon
3 - Blimp-Dirigible
4 - Fixed Wing Single Engine
5 - Fixed Wing Multi Engine
6 - Rotorcraft
7 - Weight Shift Control
8 - Powered Parachute
9 - Gyroplane
OT - Other
AIRCRAFT INFORMATION
Aircraft Use
Enter code: The primary use of the aircraft (i.e. AA - Air Ambulance, BT - Banner Towing,
CH - Charter, CO - Cargo Only, FC - Full Commercial, IA - Industrial Aid, PB - Pleasure
and Business, etc.).
AIRCRAFT INFORMATION
Engine Type
Enter code: The type of engine on the aircraft.
AIRCRAFT INFORMATION
Horsepower
Enter number: The horsepower of the engine used on the aircraft.
AIRCRAFT INFORMATION
Engine Hours 1
Enter number: The number of flight hours on engine 1.
AIRCRAFT INFORMATION
Engine Hours 2
Enter number: The number of flight hours on engine 2.
AIRCRAFT INFORMATION
Engine Hours 3
Enter number: The number of flight hours on engine 3.
AIRCRAFT INFORMATION
Engine Hours 4
Enter number: The number of flight hours on engine 4.
AIRCRAFT INFORMATION
Hrs Last 12 Months
Enter number: The total number of hours logged for the past 12 months.
AIRCRAFT INFORMATION
Seating Cap
Enter number: Enter the seating capacity of the aircraft.
AIRCRAFT INFORMATION
Value
Enter amount: Enter the value of the aircraft.
AIRCRAFT INFORMATION
Aircraft Storage - Hangared
Check the box (if applicable): Indicates the aircraft is stored in a hangar.
AIRCRAFT INFORMATION
Aircraft Storage - Moored
Check the box (if applicable): Indicates the aircraft is moored.
AIRCRAFT INFORMATION
Aircraft Storage - Tied-Out
Check the box (if applicable): Indicates the aircraft is tied out.
AIRCRAFT INFORMATION
Aircraft Storage - Other Checkbox
Check the box (if applicable): Indicates the aircraft is stored in a manner other than those
listed.
AIRCRAFT INFORMATION
Aircraft Storage - Other
Description
Enter text: The description of the storage area used for the aircraft.
AIRCRAFT INFORMATION
Airframe Hours
Enter number: The number of hours of the airframe.
AIRCRAFT INFORMATION
Date of Last Annual
Enter date: The date of the last annual inspection.
AIRCRAFT INFORMATION
Territory
Enter text: The description of the rating territory for the aircraft.
AIRCRAFT INFORMATION
Aircraft Hull Valuation Agreed
Amount
Check the box (if applicable): Indicates the type of value used in determining the limit of
insurance is the agreed amount.
ACORD 333 (2009/05)
2 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Aircraft Hull Valuation Insured
Amount
Check the box (if applicable): Indicates the type of value used in determining the limit of
insurance is the insured amount.
AIRCRAFT INFORMATION
Aircraft Hull Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Hull Option Description
Enter text: The description of the option being requested. Examples: All Risk Ground and
Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In
Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION
Aircraft Hull Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Hull Option Description
Enter text: The description of the option being requested. Examples: All Risk Ground and
Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In
Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION
Aircraft Hull Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Hull Option Description
Enter text: The description of the option being requested. Examples: All Risk Ground and
Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In
Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION
Aircraft Hull Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Hull Option Description
Enter text: The description of the option being requested. Examples: All Risk Ground and
Flight, Ground and Taxi, Ground Not in Flight, Ground Not in Motion, Ground Only, In
Motion Excluding Flight, Excluding in Flight, Aircraft Storage in Hangar.
AIRCRAFT INFORMATION
Aircraft Hull Limit
Enter limit: The limit amount for aircraft hull coverage.
AIRCRAFT INFORMATION
Aircraft Hull Limit Applies To
Enter code: The code identifying what the limit applies to. Examples: Total Aircraft,
Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
AIRCRAFT INFORMATION
Aircraft Hull Limit
Enter limit: The limit amount for aircraft hull coverage.
AIRCRAFT INFORMATION
Aircraft Hull Limit Applies To
Enter code: The code identifying what the limit applies to. Examples: Total Aircraft,
Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
AIRCRAFT INFORMATION
Aircraft Hull Limit
Enter limit: The limit amount for aircraft hull coverage.
AIRCRAFT INFORMATION
Aircraft Hull Limit Applies To
Enter code: The code identifying what the limit applies to. Examples: Total Aircraft,
Aircraft while on Floats, Aircraft while on Skis, Floats, Skis.
AIRCRAFT INFORMATION
Aircraft Hull Deductible
Enter deductible: The deductible amount for aircraft hull coverage.
ACORD 333 (2009/05)
3 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Aircraft Hull Deductible Applies To
Enter code: The code identifying what the deductible applies to. Examples: All Other,
Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and
Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse
/ Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion
While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each
Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION
Aircraft Hull Deductible
Enter deductible: The deductible amount for aircraft hull coverage.
AIRCRAFT INFORMATION
Aircraft Hull Deductible Applies To
Enter code: The code identifying what the deductible applies to. Examples: All Other,
Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and
Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse
/ Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion
While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each
Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION
Aircraft Hull Deductible
Enter deductible: The deductible amount for aircraft hull coverage.
AIRCRAFT INFORMATION
Aircraft Hull Deductible Applies To
Enter code: The code identifying what the deductible applies to. Examples: All Other,
Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and
Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse
/ Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion
While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each
Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION
Aircraft Hull Premium
Enter amount: The premium amount for aircraft hull coverage.
AIRCRAFT INFORMATION
Aircraft Liability Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Liability Option
Description
Enter text: The description of the option being requested. Examples: Adjacent
Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD,
CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding
Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION
Aircraft Liability Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Liability Option
Description
Enter text: The description of the option being requested. Examples: Adjacent
Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD,
CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding
Chemicals, PD Only, Total Limit.
ACORD 333 (2009/05)
4 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Aircraft Liability Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Liability Option
Description
Enter text: The description of the option being requested. Examples: Adjacent
Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD,
CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding
Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION
Aircraft Liability Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Aircraft Liability Option
Description
Enter text: The description of the option being requested. Examples: Adjacent
Fields/CBT, BI Only, Chemical BI, Chemical BI and PD, Chemical PD, CSL BI and PD,
CSL BI and PD Excluding Passengers, CSL BI and PD Including Passengers, Excluding
Chemicals, PD Only, Total Limit.
AIRCRAFT INFORMATION
Aircraft Liability Each Occurrence
Enter limit: The each occurrence limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION
Aircraft Liability Each Passenger
Enter limit: The each passenger limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION
Aircraft Liability Each Person
Enter limit: The each person limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION
Aircraft Liability Aggregate
Enter limit: The aggregate limit amount for aircraft liability coverage.
AIRCRAFT INFORMATION
Aircraft Liability Deductible
Enter deductible: The deductible amount for aircraft liability coverage.
AIRCRAFT INFORMATION
Aircraft Liability Deductible
Applies To
Enter code: The code identifying what the deductible applies to. Examples: All Other,
Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and
Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse
/ Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion
While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each
Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION
Aircraft Liability Deductible
Enter deductible: The deductible amount for aircraft liability coverage.
AIRCRAFT INFORMATION
Aircraft Liability Deductible
Applies To
Enter code: The code identifying what the deductible applies to. Examples: All Other,
Collision Deductible, Comprehensive Deductible, Each Engine, Each Claim, Each and
Every Loss, Each Item, Each Tool, Ground Equipment, In Motion, Landing Gear Collapse
/ Gear Up Landing, Non-Scheduled Equipment, Not In Flight, Not In Motion, Not In Motion
While Hangared, All Other Claims, Each Aircraft, Property Damage Deductible, Each
Occurrence, Rotors In Motion, Rotors Not In Motion, Scheduled Equipment.
AIRCRAFT INFORMATION
Aircraft Liability Premium
Enter amount: The premium amount for aircraft liability coverage.
ACORD 333 (2009/05)
5 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Medical Payments Including Crew
Check the box (if applicable): Indicates the crew is included in the medical payments
coverage.
AIRCRAFT INFORMATION
Medical Payments Excluding Crew
Check the box (if applicable): Indicates the crew is excluded from the medical payments
coverage.
AIRCRAFT INFORMATION
Medical Payments Each Person
Enter limit: The each person limit amount for medical payments coverage.
AIRCRAFT INFORMATION
Medical Payments Premium
Enter amount: The premium amount for medical payments coverage.
AIRCRAFT INFORMATION
Coverage Code
Enter code: The code for the coverage.
AIRCRAFT INFORMATION
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Premium
Enter amount: The premium amount for the coverage.
AIRCRAFT INFORMATION
Coverage Code
Enter code: The code for the coverage.
AIRCRAFT INFORMATION
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
ACORD 333 (2009/05)
6 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Premium
Enter amount: The premium amount for the coverage.
AIRCRAFT INFORMATION
Coverage Code
Enter code: The code for the coverage.
AIRCRAFT INFORMATION
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
ACORD 333 (2009/05)
7 of 9
Section Name
Field Name
Field and/or Section Description
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Premium
Enter amount: The premium amount for the coverage.
AIRCRAFT INFORMATION
Coverage Code
Enter code: The code for the coverage.
AIRCRAFT INFORMATION
Coverage Description
Enter text: The description of other coverage (not the limit) on the policy. Any questions
about appropriate limits or applicable policy coverage(s) should be answered by the
issuing insurer(s)
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Option Checkbox
Check the box (if applicable): Indicates a coverage option applies to the coverage.
AIRCRAFT INFORMATION
Option Description
Enter text: The description of the option being requested.
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Limit
Enter limit: The limit amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the limit applies to (i.e. per occurrence).
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Deductible
Enter deductible: The deductible amount for the coverage.
AIRCRAFT INFORMATION
Applies To
Enter code: The code identifying what the deductible applies to.
AIRCRAFT INFORMATION
Premium
Enter amount: The premium amount for the coverage.
AIRCRAFT INFORMATION
Form Number
Enter identifier: The number used by the insurer for this form.
AIRCRAFT INFORMATION
Form Name
Enter text: The name of the form.
AIRCRAFT INFORMATION
Description
Enter text: The description of the form.
AIRCRAFT INFORMATION
Form Number
Enter identifier: The number used by the insurer for this form.
AIRCRAFT INFORMATION
Form Name
Enter text: The name of the form.
AIRCRAFT INFORMATION
Description
Enter text: The description of the form.
REMARKS (Attach ACORD
101, Additional Remarks
Schedule if more space is
required)
Remarks
Enter text: The Aircraft Insurance Binder general remarks including the description of
operations. Attach ACORD 101, Additional Remarks Schedule, if more space is required.
ACORD 333 (2009/05)
8 of 9
Section Name
Field Name
Field and/or Section Description
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 333 (2009/05)
9 of 9