ACORD 336 (2009/06)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 336 (2009/06)
Airport Property Change Request
ACORD 336, Airport Property Change Request, is used to submit
requested changes to an airport or hangar on a commercial property policy. This form
may stand on its own or be attached to the ACORD 175, Commercial Policy Change
Request.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Date (MM/DD/YYYY)
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY)
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
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 Effective Date of Change
Enter date: The date on which the change should take effect.
IDENTIFICATION SECTION Effective Time of Change
Enter time: The effective time of the policy change.
IDENTIFICATION SECTION Effective Time AM
Check the box (if applicable): Indicates the effective time of the policy change is in the
morning (AM).
IDENTIFICATION SECTION Effective Time PM
Check the box (if applicable): Indicates the effective time of the policy change is in the
afternoon or evening (PM).
IDENTIFICATION SECTION Applicant (First Named Insured)
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
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 NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Loc #
Enter number: The location number for the premises.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Bld #
Enter number: The building number for the premises. Used when more than one building
exists at an individual location.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Airport ID
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Airport Name (On Current Policy)
Enter text: The full name of the location.
AIRPORT AND BUILDING
INFORMATION
Airport Name (If Changed)
Enter text: The full name of the location. As used here, enter only if the airport's name has
changed.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Building Description
Enter text: This describes the particular sublocation in a manner sufficient to distinguish it
from other sublocations at a given location. An example might be 3 story blue structure
on the left of the main building.
AIRPORT AND BUILDING
INFORMATION
Is the Airport Fenced?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is the airport Fenced?.
AIRPORT AND BUILDING
INFORMATION
Is there a fire department on the
field?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there a Fire Station on premises?.
AIRPORT AND BUILDING
INFORMATION
Is there a control tower?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there an Air Traffic Control Tower?.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Repair, Service Work, or
Painting in the Hangar.
Enter text: The description of the type of repair or service work completed including
painting.
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Other Protection.
Enter text: The description of the type of fire protection for the premises (e.g. sprinklers,
standpipes, chemical systems).
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Contents of the Building.
Enter text: The description of the contents of the building being insured.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Loc #
Enter number: The location number for the premises.
ACORD 336 (2009/06)
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Bld #
Enter number: The building number for the premises. Used when more than one building
exists at an individual location.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Airport ID
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
AIRPORT AND BUILDING
INFORMATION
Airport Name (On Current Policy)
Enter text: The full name of the location.
AIRPORT AND BUILDING
INFORMATION
Airport Name (If Changed)
Enter text: The full name of the location. As used here, enter only if the airport's name has
changed.
ACORD 336 (2009/06)
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Building Description
Enter text: This describes the particular sublocation in a manner sufficient to distinguish it
from other sublocations at a given location. An example might be 3 story blue structure
on the left of the main building.
AIRPORT AND BUILDING
INFORMATION
Is the Airport Fenced?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is the airport Fenced?.
AIRPORT AND BUILDING
INFORMATION
Is there a fire department on the
field?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there a Fire Station on premises?.
AIRPORT AND BUILDING
INFORMATION
Is there a control tower?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there an Air Traffic Control Tower?.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Repair, Service Work, or
Painting in the Hangar.
Enter text: The description of the type of repair or service work completed including
painting.
ACORD 336 (2009/06)
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Other Protection.
Enter text: The description of the type of fire protection for the premises (e.g. sprinklers,
standpipes, chemical systems).
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Contents of the Building.
Enter text: The description of the contents of the building being insured.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Loc #
Enter number: The location number for the premises.
ACORD 336 (2009/06)
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Bld #
Enter number: The building number for the premises. Used when more than one building
exists at an individual location.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Airport ID
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -
O'Hare International Airport).
AIRPORT AND BUILDING
INFORMATION
Airport Name (On Current Policy)
Enter text: The full name of the location.
AIRPORT AND BUILDING
INFORMATION
Airport Name (If Changed)
Enter text: The full name of the location. As used here, enter only if the airport's name has
changed.
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Building Description
Enter text: This describes the particular sublocation in a manner sufficient to distinguish it
from other sublocations at a given location. An example might be 3 story blue structure
on the left of the main building.
AIRPORT AND BUILDING
INFORMATION
Is the Airport Fenced?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is the airport Fenced?.
AIRPORT AND BUILDING
INFORMATION
Is there a fire department on the
field?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there a Fire Station on premises?.
AIRPORT AND BUILDING
INFORMATION
Is there a control tower?
Enter Y for a Yes response. Input N for No response. Indicates the response to the
question, Is there an Air Traffic Control Tower?.
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Repair, Service Work, or
Painting in the Hangar.
Enter text: The description of the type of repair or service work completed including
painting.
ACORD 336 (2009/06)
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Section Name
Field Name
Field and/or Section Description
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Other Protection.
Enter text: The description of the type of fire protection for the premises (e.g. sprinklers,
standpipes, chemical systems).
AIRPORT AND BUILDING
INFORMATION
Type of Change
Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-
Delete or I - Informational Only No Change. Various combinations of changes are
permitted in one submission. Use A to add an item that was not previously in the policy
(e.g., add a vehicle, add a coverage). Use D to delete an item (e.g., delete a vehicle,
delete a driver). Use C to change an item in the policy (e.g., change a deductible,
change coverage limits). Use I to identify a risk or other item that is not being changed
but is related to another change on the form. Example: When adding collision coverage to
a vehicle, enter A in the type of change for Collision. Enter I in the type of change for
the Vehicle. Enter enough information to identify the vehicle that is having coverage
changed (e.g. year, make, model, body, VIN).
AIRPORT AND BUILDING
INFORMATION
Describe Contents of the Building.
Enter text: The description of the contents of the building being insured.
REMARKS
Enter text: The remarks associated with a policy change. Attach ACORD 101, Additional
Remarks Schedule, if more space is required.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
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