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Section Name |
Field Name |
Field and/or Section Description |
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The title of the form. ACORD 337, Airport and FBO Liability Change Request, is used to |
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submit requested changes to an airport / fixed based operator policy. This form may |
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TITLE |
Airport and FBO Liability Change |
stand on its own or be attached to the ACORD 335, Aviation Policy Change Request |
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ACORD 337 (2009/06) |
Request |
Applicant Information Section. |
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Enter identifier: The customer's identification number assigned by the producer (e.g. |
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IDENTIFICATION SECTION |
Agency Customer ID |
agency or brokerage). |
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IDENTIFICATION SECTION |
Date (MM/DD/YYYY) |
Enter date: The month/day/year on which the form is completed. (MM/DD/YYYY) |
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IDENTIFICATION SECTION |
Agency |
Enter text: The full name of the producer/agency. |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION SECTION |
Policy Number |
required for self-insurance, the self-insured license or contract number. |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION SECTION |
Effective Date |
policy commence. |
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IDENTIFICATION SECTION |
Effective Date of Change |
Enter date: The date on which the change should take effect. |
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IDENTIFICATION SECTION |
Effective Time of Change |
Enter time: The effective time of the policy change. |
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Check the box (if applicable): Indicates the effective time of the policy change is in the |
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IDENTIFICATION SECTION |
Effective Time AM |
morning (AM). |
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Check the box (if applicable): Indicates the effective time of the policy change is in the |
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IDENTIFICATION SECTION |
Effective Time PM |
afternoon or evening (PM). |
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IDENTIFICATION SECTION |
Named Insured |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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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. |
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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 |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Loc # |
Enter number: The location number for the premises. |
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AIRPORT 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). |
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AIRPORT 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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AIRPORT INFORMATION |
Airport Name (On Current Policy) |
Enter text: The full name of the location. As used here, this is the name of the airport as it appears on the current policy. |
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AIRPORT INFORMATION |
Airport Name (If Changed) |
Enter text: The full name of the location. As used here, this is the name of the airport if it has changed. |
ACORD 337 (2009/06) 3 of 71
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Section Name |
Field Name |
Field and/or Section Description |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Elevation |
Enter number: The approximate distance, in feet, of the airport above or below sea level. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Describe any sea lanes |
Enter text: The description of any sea lanes at the airport. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Applicant's Interest in Airport -Tenant |
Check the box (if applicable): Indicates the applicant's / insured's interest in the airport is as a tenant. |
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Section Name |
Field Name |
Field and/or Section Description |
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AIRPORT INFORMATION |
Applicant's Interest in Airport -General Lessee |
Check the box (if applicable): Indicates the applicant's / insured's interest in the airport is as a general lessee. |
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AIRPORT INFORMATION |
Applicant's Interest in Airport -Airport Owner |
Check the box (if applicable): Indicates the applicant's / insured's interest in the airport is as an owner. |
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AIRPORT INFORMATION |
Applicant's Interest in Airport -Sub-Tenant |
Check the box (if applicable): Indicates the applicant's / insured's interest in the airport is as a sub-tenant. |
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AIRPORT INFORMATION |
Applicant's Interest in Airport -Other |
Check the box (if applicable): Indicates the applicant's / insured's interest in the airport is other than those listed. |
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AIRPORT INFORMATION |
Applicant's Interest in Airport -Other Description |
Enter text: The description of the applicant's / insured's interest in the airport. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Airport Occupancy - Entire Airport |
Check the box (if applicable): Indicates the applicant / insured occupies the entire airport. |
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AIRPORT INFORMATION |
Airport Occupancy - Portion |
Check the box (if applicable): Indicates the applicant / insured occupies a portion of the airport. |
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AIRPORT INFORMATION |
Airport Occupancy - Portion Description |
Enter text: The description of the applicant's / insured's occupancy of the airport. As used here, this describes the portion of the airport the applicant / insured occupies if they do not occupy the entire airport. |
ACORD 337 (2009/06) 5 of 71
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Section Name |
Field Name |
Field and/or Section Description |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Fire Station on Prem? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a Fire Station on premises?". |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Distance to Fire Station |
Enter number: The distance in miles from the nearest fire station that supports the protection class used. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Airline Aircraft - Based at the Airport |
Enter number: The number of airline aircraft based at the airport. |
ACORD 337 (2009/06) 6 of 71
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Section Name |
Field Name |
Field and/or Section Description |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Airline Aircraft - Estimated Arrivals / Departures this Year |
Enter number: The estimated number of airline aircraft arrivals / departures at the airport for the current year. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
General Aviation Aircraft - Based at the Airport |
Enter number: The number of general aviation aircraft based at the airport. |
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AIRPORT 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). |
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Section Name |
Field Name |
Field and/or Section Description |
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AIRPORT INFORMATION |
General Aviation Aircraft -Estimated Arrivals / Departures this Year |
Enter number: The estimated number of general aviation aircraft arrivals / departures at the airport for the current year. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Military Aircraft - Based at the Airport |
Enter number: The number of military aircraft based at the airport. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Military Aircraft - Estimated Arrivals / Departures this Year |
Enter number: The estimated number of military aircraft arrivals / departures at the airport for the current year. |
ACORD 337 (2009/06) 8 of 71
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Section Name |
Field Name |
Field and/or Section Description |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Runways Construction - Blacktop |
Check the box (if applicable): Indicates the runways are constructed using blacktop. |
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AIRPORT INFORMATION |
Runways Construction - Concrete |
Check the box (if applicable): Indicates the runways are constructed using concrete. |
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AIRPORT INFORMATION |
Runways Construction - Gravel |
Check the box (if applicable): Indicates the runways are constructed using gravel. |
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AIRPORT INFORMATION |
Runways Construction - Turf |
Check the box (if applicable): Indicates the runways are constructed using turf. |
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AIRPORT INFORMATION |
Runways Construction - Other |
Check the box (if applicable): Indicates the runways are constructed using a material other than those listed. |
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AIRPORT INFORMATION |
Runways Construction -Description |
Enter text: The construction material used for runways. |
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AIRPORT 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). |
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AIRPORT INFORMATION |
Runways Lighted? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are runways lighted?". |
ACORD 337 (2009/06) 9 of 71
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Section Name |
Field Name |
Field and/or Section Description |
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Enter code: The type of change being requested. Enter either an A-Add, C-Change, D- |
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Delete or I - Informational Only No Change. Various combinations of changes are |
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permitted in one submission. Use "A" to add an item that was not previously in the policy |
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(e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, |
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delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, |
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change coverage limits). Use "I" to identify a risk or other item that is not being changed |
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but is related to another change on the form. Example: When adding collision coverage to |
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|
a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for |
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the Vehicle. Enter enough information to identify the vehicle that is having coverage |
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AIRPORT INFORMATION |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
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AIRPORT INFORMATION |
Longest Runway |
Enter number: The length of the longest runway in feet. |
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Enter code: The type of change being requested. Enter either an A-Add, C-Change, D- |
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Delete or I - Informational Only No Change. Various combinations of changes are |
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permitted in one submission. Use "A" to add an item that was not previously in the policy |
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(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 |
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|
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 |
|
AIRPORT INFORMATION |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
Who maintains taxiways and |
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AIRPORT INFORMATION |
runways? |
Enter text: The description of who maintains runways and taxiways. |
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AIRPORT GENERAL |
Are there any obstructions to the |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
approach? |
question, "Are there any obstructions to the approach?". |
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AIRPORT GENERAL |
|
Enter text: An explanation of a response to a general information or underwriting question. |
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INFORMATION |
Explanation |
Normally, "Yes" responses require an explanation. |
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AIRPORT GENERAL |
Does the airport maintain an air |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
crash emergency plan? |
question, "Does the airport maintain an air crash emergency plan?". |
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AIRPORT GENERAL |
|
Enter text: An explanation of a response to a general information or underwriting question. |
|
INFORMATION |
Explanation |
Normally, "Yes" responses require an explanation. |
|
AIRPORT GENERAL |
Does the airport maintain an anti- |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
terrorist plan? |
question, "Does the airport maintain an anti-terrorist plan?". |
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AIRPORT GENERAL |
|
Enter text: An explanation of a response to a general information or underwriting question. |
|
INFORMATION |
Explanation |
Normally, "Yes" responses require an explanation. |
ACORD 337 (2009/06) 10 of 71
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Section Name |
Field Name |
Field and/or Section Description |
|
AIRPORT GENERAL |
Does the airport employ medical |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
personnel? |
question, "Does the airport employ medical personnel?". |
|
AIRPORT GENERAL |
|
Enter text: An explanation of a response to a general information or underwriting question. |
|
INFORMATION |
Explanation |
Normally, "Yes" responses require an explanation. |
|
AIRPORT GENERAL |
Does the airport maintain a bird |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
strike prevention program? |
question, "Does the airport maintain a bird strike prevention program?". |
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AIRPORT GENERAL |
|
Enter text: An explanation of a response to a general information or underwriting question. |
|
INFORMATION |
Explanation |
Normally, "Yes" responses require an explanation. |
|
AIRPORT GENERAL |
|
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
Is the airport fenced? |
question, "Is the airport fenced?". |
|
AIRPORT GENERAL |
|
Enter text: An explanation of a response to a general information or underwriting question. |
|
INFORMATION |
Explanation |
Normally, "Yes" responses require an explanation. |
|
AIRPORT GENERAL |
Is there a control tower on the |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
INFORMATION |
airport? |
question, "Is there an Air Traffic Control Tower?". |
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Enter code: The type of change being requested. Enter either an A-Add, C-Change, D- |
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Delete or I - Informational Only No Change. Various combinations of changes are |
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|
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 |
|
AIRPORT GENERAL |
|
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 |
|
INFORMATION |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
AIRPORT GENERAL |
|
|
|
INFORMATION |
Name of Operator |
Enter text: The full name of the air traffic control tower operator. |
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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 |
|
AIRPORT GENERAL |
|
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 |
|
INFORMATION |
Full Time |
changed (e.g. year, make, model, body, VIN). |
ACORD 337 (2009/06) 11 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
AIRPORT GENERAL INFORMATION |
Part Time |
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 GENERAL INFORMATION |
Start Time |
Enter time: The start time for part time air traffic control tower operations. |
|
AIRPORT GENERAL INFORMATION |
Close Time |
Enter time: The close time for part time air traffic control tower operations. |
|
GENERAL LESSEE / AIRPORT OWNER |
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). |
|
GENERAL LESSEE / AIRPORT OWNER |
# Bldgs |
Enter number: The number of buildings at the airport. |
|
GENERAL LESSEE / AIRPORT OWNER |
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). |
|
Section Name |
Field Name |
Field and/or Section Description |
|
GENERAL LESSEE / |
|
|
|
AIRPORT OWNER |
Brief Description of Premises |
Enter text: The brief description of the premises. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
Describe any ultralight, |
|
|
GENERAL LESSEE / |
parachuting or agriculture |
Enter text: The description of the activities allowed at the airport that include ultralights, |
|
AIRPORT OWNER |
activities allowed. |
parachuting, or agriculture. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
GENERAL LESSEE / |
Describe any recreational or non- |
|
|
AIRPORT OWNER |
aviation use of the airport. |
Enter text: The description of recreational or non-aviation use of airport. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
Describe any air shows, exhibitions, or other aviation |
|
|
GENERAL LESSEE / AIRPORT OWNER |
special events scheduled or anticipated at the airport. |
Enter text: The description of any air shows, exhibitions, or other aviation special events scheduled or anticipated at the airport. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
List airlines and scheduled air |
|
|
GENERAL LESSEE / |
taxis that will serve this airport |
Enter text: The name of an airline or scheduled air taxis that will serve this airport during |
|
AIRPORT OWNER |
during the next year. |
the next year. |
ACORD 337 (2009/06) 14 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
List airlines and scheduled air |
|
|
GENERAL LESSEE / |
taxis that will serve this airport |
Enter text: The name of an airline or scheduled air taxis that will serve this airport during |
|
AIRPORT OWNER |
during the next year. |
the next year. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
List airlines and scheduled air |
|
|
GENERAL LESSEE / |
taxis that will serve this airport |
Enter text: The name of an airline or scheduled air taxis that will serve this airport during |
|
AIRPORT OWNER |
during the next year. |
the next year. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
Section Name |
Field Name |
Field and/or Section Description |
|
List airlines and scheduled air |
|
|
GENERAL LESSEE / |
taxis that will serve this airport |
Enter text: The name of an airline or scheduled air taxis that will serve this airport during |
|
AIRPORT OWNER |
during the next year. |
the next year. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
GENERAL LESSEE / |
List the type of airline/commuter |
|
|
AIRPORT OWNER |
equipment |
Enter text: The description of the type of airline / commuter equipment used at the airport. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
GENERAL LESSEE / |
List the type of airline/commuter |
|
|
AIRPORT OWNER |
equipment |
Enter text: The description of the type of airline / commuter equipment used at the airport. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
GENERAL LESSEE / |
List the type of airline/commuter |
|
|
AIRPORT OWNER |
equipment |
Enter text: The description of the type of airline / commuter equipment used at the airport. |
|
|
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 |
|
GENERAL LESSEE / |
|
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 |
|
AIRPORT OWNER |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
GENERAL LESSEE / |
List the type of airline/commuter |
|
|
AIRPORT OWNER |
equipment |
Enter text: The description of the type of airline / commuter equipment used at the airport. |
|
BUSINESS OWNER / |
|
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
MANAGEMENT |
Is there an airport manager? |
question, "Is there an airport manager?". |
|
BUSINESS OWNER / |
Is the airport manager an |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
MANAGEMENT |
employee of the insured? |
question, "Is the airport manager an employee of the insured?". |
|
BUSINESS OWNER / |
Is there a manager on premises |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
MANAGEMENT |
during operation? |
question, "Is there a manager on premises during operation?". |
ACORD 337 (2009/06) 17 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
BUSINESS OWNER / |
|
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 |
|
MANAGEMENT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
BUSINESS OWNER / |
Manager of Flight Operations |
|
|
MANAGEMENT |
Name |
Enter text: The name or description of the flight operations manager. |
|
BUSINESS OWNER / |
Manager of Flight Operations |
|
|
MANAGEMENT |
Experience |
Enter text: The description of the flight operations manager experience. |
|
|
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 |
|
BUSINESS OWNER / |
|
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 |
|
MANAGEMENT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
BUSINESS OWNER / |
|
|
|
MANAGEMENT |
Business Owner - Name |
Enter text: The airport business owner's full name. |
|
|
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 |
|
BUSINESS OWNER / |
|
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 |
|
MANAGEMENT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
ACORD 337 (2009/06) 18 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
BUSINESS OWNER / |
|
|
|
MANAGEMENT |
Business Owner - Status Absentee |
Check the box (if applicable): Indicates the business owner is absent. |
|
BUSINESS OWNER / |
|
|
|
MANAGEMENT |
Business Owner - Active Owner |
Check the box (if applicable): Indicates the business owner is active in the business. |
|
|
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 |
|
BUSINESS OWNER / |
|
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 |
|
MANAGEMENT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
BUSINESS OWNER / |
Business Owner - Employee |
|
|
MANAGEMENT |
Status - Contracted |
Check the box (if applicable): Indicates the business owner is a contracted employee. |
|
BUSINESS OWNER / |
Business Owner - Employee |
|
|
MANAGEMENT |
Status - Full Time |
Check the box (if applicable): Indicates the business owner is a full time employee. |
|
BUSINESS OWNER / |
Business Owner - Employee |
|
|
MANAGEMENT |
Status - Part Time |
Check the box (if applicable): Indicates the business owner is a part time employee. |
|
|
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 |
|
BUSINESS OWNER / |
|
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 |
|
MANAGEMENT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
BUSINESS OWNER / |
|
Enter text: The name or description of who manages the business when the owner is |
|
MANAGEMENT |
Business Manager Name |
absent.. |
|
BUSINESS OWNER / |
|
|
|
MANAGEMENT |
Business Manager Experience |
Enter text: The description of the experience of the business manager. |
|
|
Enter identifier: The customer's identification number assigned by the producer (e.g. |
|
IDENTIFICATION SECTION |
Agency Customer ID |
agency or brokerage). |
ACORD 337 (2009/06) 19 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Fuel & Lubricants |
Enter amount: The annual gross receipts amount for fuel and lubricants. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Aircraft Repair / Servicing |
Enter amount: The annual gross receipts amount for aircraft repair and / or servicing. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Aircraft Parts (not installed) |
Enter amount: The annual gross receipts amount for aircraft parts (not installed). |
ACORD 337 (2009/06) 20 of 71
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Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Sale of New Aircraft |
Enter amount: The annual gross receipts amount for the sale of new aircraft. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Sale of Used Aircraft |
Enter amount: The annual gross receipts amount for the sale of used aircraft. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Restaurant |
Enter amount: The annual gross receipts amount for restaurants. |
ACORD 337 (2009/06) 21 of 71
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Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Aircraft Painting |
Enter amount: The annual gross receipts amount for aircraft painting. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Engine Overhaul |
Enter amount: The annual gross receipts amount for engine overhaul operations. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Tie-Down/Hangaring |
Enter amount: The annual gross receipts amount for tie-downs and hangaring. |
ACORD 337 (2009/06) 22 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Propeller Repair |
Enter amount: The annual gross receipts amount for propeller repair operations. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Aircraft Charter |
Enter amount: The annual gross receipts amount for aircraft charter operations. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Rental - Instruction |
Enter amount: The annual gross receipts amount for rental / instruction operations. |
ACORD 337 (2009/06) 23 of 71
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Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Helicopter Repairs |
Enter amount: The annual gross receipts amount for helicopter repair operations. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Auto Parking |
Enter amount: The annual gross receipts amount for auto parking operations. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
ACORD 337 (2009/06) 24 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
ACORD 337 (2009/06) 25 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
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). |
|
GROSS RECEIPTS |
Other Description |
Enter text: The annual gross receipts amount for the operation. |
|
GROSS RECEIPTS |
Other Amount |
Enter amount: The annual gross receipts amount for the operation. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
FUELING |
Is Fueling Done - By Self Serve |
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). |
|
FUELING |
Is Fueling Done - By Truck |
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). |
|
FUELING |
Is Fueling Done - On Premises |
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). |
ACORD 337 (2009/06) 27 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
FUELING |
Is Fueling Done - By Applicant |
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). |
|
FUELING |
Is Fueling Done - By Gas Pump |
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). |
|
FUELING |
If not by applicant, by whom? |
Enter text: Describes who does the fueling if not the applicant / insured. |
|
FUELING |
Applicant Sells - AV Gas |
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). |
ACORD 337 (2009/06) 28 of 71
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Section Name |
Field Name |
Field and/or Section Description |
|
FUELING |
Applicant Sells - Jet Fuel |
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). |
|
FUELING |
Applicant Sells - Auto Fuel |
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). |
|
FUELING |
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). |
|
FUELING |
Annual Gallonage - Airline |
Enter number: The number of gallons of fuel annually used for airlines. |
ACORD 337 (2009/06) 29 of 71
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Section Name |
Field Name |
Field and/or Section Description |
|
FUELING |
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). |
|
FUELING |
Annual Gallonage - General Aviation |
Enter number: The number of gallons of fuel annually used for general aviation. |
|
FUELING |
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). |
|
FUELING |
Annual Gallonage - Military |
Enter number: The number of gallons of fuel annually used for military aviation. |
|
FUELING |
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). |
|
FUELING |
Annual Gallonage - Fuel Stored Underground |
Enter number: The number of gallons of fuel stored underground. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
FUELING |
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). |
|
FUELING |
Annual Gallonage - Fuel Stored Above Ground |
Enter number: The number of gallons of fuel stored above ground. |
|
TIE-DOWNS / HANGARING |
Location # |
Enter number: The location number for the premises. |
|
TIE-DOWNS / HANGARING |
Building # |
Enter number: The building number for the premises. Used when more than one building exists at an individual location. |
|
TIE-DOWNS / HANGARING |
Airport ID |
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -O'Hare International Airport). |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Tie-Down Provider |
Enter text: The description of the tie-down provider. |
ACORD 337 (2009/06) 31 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Type of Tie-Downs |
Enter text: The description of the type of tie-downs. |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Number Tie-Down Spaces |
Enter number: The number of tie-down spaces. |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Describe Storage Hangars |
Enter text: The description of storage hangars. |
ACORD 337 (2009/06) 32 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Maximum Value Of Aircraft - Any one aircraft |
Enter amount: The maximum value of any one aircraft in care and custody of applicant. |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Maximum Value Of Aircraft - All Aircraft |
Enter amount: The maximum value of all aircraft in care and custody of applicant. |
|
TIE-DOWNS / HANGARING |
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). |
|
TIE-DOWNS / HANGARING |
Storage Hangars Construction Type |
Enter code: The construction type of the storage hangars. |
ACORD 337 (2009/06) 33 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
TIE-DOWNS / HANGARING |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
|
Enter number: The total area of this building, in square feet, counting both stories above |
|
TIE-DOWNS / HANGARING |
Storage Hangars Area |
ground and basements. |
|
Do You Require Hangar Tenants |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
HANGAR INFORMATION |
To Carry Insurance? |
question, "Do you require hangar tenants to carry insurance?". |
|
HANGAR INFORMATION |
If Yes, Does Their Insurance Policy Name The Owner As An Additional Insured? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "If you require hangar tenants to carry insurance, does their insurance policy name the owner as an additional insured?". |
|
Do You Require Tenants To Sign A |
|
|
Hangar Agreement Holding You Harmless For Losses Not Caused |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do you require tenants to sign hangar agreement holding you harmless for |
|
HANGAR INFORMATION |
By You? |
losses not caused by you?". |
|
Are Any Aircraft Of Others Taxied, |
|
|
Towed Or Moved By The |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
HANGAR INFORMATION |
Applicant? |
question, "Are any aircraft of others taxied, towed or moved by applicant?". |
|
CONTRACTS AND CONSTRUCTION |
Has Applicant Entered Into Any Agreements Assuming Liability Of Others Such As Lease Of Premises, Fuel Supplier, Equipment Leases, Etc.?? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has applicant entered into any agreements assuming liability of others such as lease of premises, fuel supplier, equipment leases, etc.?". |
|
Does Applicant Use Contracts For |
|
|
CONTRACTS AND |
Hangaring And Tie-Down Service, |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
CONSTRUCTION |
Etc.? |
question, "Does applicant use contracts for hangaring and tie down service, etc.?". |
|
CONTRACTS AND |
Estimated Cost Of Construction |
|
|
CONSTRUCTION |
For Runways And Taxiways: |
Enter amount: The estimated cost of construction for runways and taxiways. |
ACORD 337 (2009/06) 34 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Fuel Trucks |
Enter number: The number of fuel trucks. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Snow Removal |
Enter number: The number of snow removal trucks. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Fire Engines |
Enter number: The number of fire engines. |
ACORD 337 (2009/06) 35 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Tugs |
Enter number: The number of tugs. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Mowers |
Enter number: The number of mowers. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Pickup Trucks |
Enter number: The number of pickup trucks. |
ACORD 337 (2009/06) 36 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Passenger Cars |
Enter number: The number of passenger cars. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Sweepers |
Enter number: The number of sweepers. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Elevators |
Enter number: The number of elevators. |
ACORD 337 (2009/06) 37 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
|
|
|
AND AIRCRAFT |
Escalators |
Enter number: The number of escalators. |
|
|
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 |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
|
|
|
AND AIRCRAFT |
Moving Sidewalks |
Enter number: The number of moving sidewalks. |
|
|
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 |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
Aircraft Owned and Operated by |
|
|
AND AIRCRAFT |
Applicant |
Enter number: The number of aircraft owned and operated by the applicant / insured. |
ACORD 337 (2009/06) 38 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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 |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
Helicopters Owned and Operated |
|
|
AND AIRCRAFT |
by Applicant |
Enter number: The number of helicopters owned and operated by applicant / insured. |
|
|
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 |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
|
|
|
AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS |
|
|
|
AND AIRCRAFT |
Other |
Enter number: The number of vehicles. |
|
|
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 |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
ACORD 337 (2009/06) 39 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
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). |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
|
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, |
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change coverage limits). Use "I" to identify a risk or other item that is not being changed |
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but is related to another change on the form. Example: When adding collision coverage to |
|
VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
|
|
|
AND AIRCRAFT |
Other Description |
Enter text: The description of the type of vehicle. |
|
VEHICLES, ELEVATORS |
|
|
|
AND AIRCRAFT |
Number of |
Enter number: The number of vehicles. |
|
|
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 |
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permitted in one submission. Use "A" to add an item that was not previously in the policy |
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(e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, |
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delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, |
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change coverage limits). Use "I" to identify a risk or other item that is not being changed |
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but is related to another change on the form. Example: When adding collision coverage to |
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VEHICLES, ELEVATORS |
|
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 |
|
AND AIRCRAFT |
Type of Change |
changed (e.g. year, make, model, body, VIN). |
|
VEHICLES, ELEVATORS |
Are Any Vehicles Operated Off |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the |
|
AND AIRCRAFT |
Airport? |
question, "Are any vehicles operated off airport?". |
|
VEHICLES, ELEVATORS |
|
Enter text: An explanation of a response to a general information or underwriting question. |
|
AND AIRCRAFT |
Explanation |
Normally, "Yes" responses require an explanation. |
ACORD 337 (2009/06) 51 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Interest - Additional Insured |
Check the box (if applicable): Indicates the additional interest type is an additional insured. |
|
ADDITIONAL INTERESTS |
Interest - Breach of Warranty |
Check the box (if applicable): Indicates the additional interest type is a breach of warranty. |
|
ADDITIONAL INTERESTS |
Interest - Co-Owner |
Check the box (if applicable): Indicates the additional interest type is a co-owner. |
|
ADDITIONAL INTERESTS |
Interest - Leaseback Owner |
Check the box (if applicable): Indicates the additional interest type is a leaseback owner. |
|
ADDITIONAL INTERESTS |
Interest - Lienholder |
Check the box (if applicable): Indicates the additional interest type is a lien holder. |
|
ADDITIONAL INTERESTS |
Interest - Loss Payee |
Check the box (if applicable): Indicates the additional interest type is a loss payee. |
|
ADDITIONAL INTERESTS |
Interest - Mortgagee |
Check the box (if applicable): Indicates the additional interest type is a mortgagee. |
|
ADDITIONAL INTERESTS |
Interest - Other |
Check the box (if applicable): Indicates the additional interest is not any of the types listed on the form. |
|
ADDITIONAL INTERESTS |
Interest - Other Description |
Enter text: The description of the type of interest in the item. |
|
ADDITIONAL INTERESTS |
Reason For Interest |
Enter text: The description for the interest in the item. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Rank |
Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. |
ACORD 337 (2009/06) 52 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
ADDITIONAL INTERESTS |
Certificate Required |
Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance, |
|
ADDITIONAL INTERESTS |
Name |
Enter text: The additional interest's full name. |
|
ADDITIONAL INTERESTS |
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). |
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ADDITIONAL INTERESTS |
Name |
Enter text: The additional interest's full name. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Street |
Enter text: The additional interest's mailing address line one. |
|
ADDITIONAL INTERESTS |
Street |
Enter text: The additional interest's mailing address line two. |
|
ADDITIONAL INTERESTS |
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). |
ACORD 337 (2009/06) 53 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
ADDITIONAL INTERESTS |
City |
Enter text: The additional interest's mailing address city name. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
State |
Enter code: The additional interest's mailing address state or province code. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Zip |
Enter code: The additional interest's mailing address postal code. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Country |
Enter code: The additional interest's country code. |
ACORD 337 (2009/06) 54 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Reference # |
Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Interest End Date |
Enter date: The date the interest holder's interest terminates. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Lien Amount |
Enter amount: The amount of the loan. |
ACORD 337 (2009/06) 55 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Phone |
Enter number: The primary phone number of the additional interest. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
Fax |
Enter number: The primary fax number of the additional interest. |
|
ADDITIONAL INTERESTS |
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). |
|
ADDITIONAL INTERESTS |
E-Mail |
Enter text: The primary e-mail address for the additional interest. |
|
ADDITIONAL INTERESTS |
Interest In Item Location |
Enter number: The producer assigned number of the location which has an additional interest. |
ACORD 337 (2009/06) 56 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
ADDITIONAL INTERESTS |
Interest In Item Building |
Enter number: The producer assigned number of the building which has an additional interest. |
|
ADDITIONAL INTERESTS |
Interest In Item Airport |
Enter identifier: The Federal Aviation Administration's designator for the airport (e.g. ORD -O'Hare International Airport). |
|
ADDITIONAL INTERESTS |
Interest In Item Aircraft |
Enter number: The producer assigned number of the aircraft which has an additional interest. |
|
ADDITIONAL INTERESTS |
Item Class |
Enter text: The description of the property class of the scheduled item (i.e. Jewelry, Furs, Contractors Equipment, etc.). |
|
ADDITIONAL INTERESTS |
Item |
Enter number: The producer assigned number of the scheduled item which has an additional interest. |
|
ADDITIONAL INTERESTS |
Item Description |
Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. |
|
IDENTIFICATION SECTION |
Agency Customer ID |
Enter identifier: The customer's identification number assigned by the producer (e.g. agency or brokerage). |
|
COVERAGES |
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). |
|
COVERAGES |
Premises Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Premises Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Premises Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Premises Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Premises Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
ACORD 337 (2009/06) 57 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
Premises Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Premises Liability BI Ea Pers |
Enter limit: The bodily injury each person limit amount for premises liability coverage. |
|
COVERAGES |
Premises Liability Ea Occ |
Enter limit: The each occurrence limit amount for premises liability coverage. |
|
COVERAGES |
Premises Liability PD |
Enter limit: The property damage limit amount for premises liability coverage. |
|
COVERAGES |
Premises Liability Deductible |
Enter deductible: The deductible amount for premises liability coverage. |
|
COVERAGES |
Premises Liability Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premises Liability Premium |
Enter amount: The premium amount for premises liability coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Premises Medical Payments Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Premises Medical Payments Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Premises Medical Payments Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Premises Medical Payments Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Premises Medical Payments Ea Pers |
Enter limit: The each person limit amount for premises medical payments coverage. |
|
COVERAGES |
Premises Medical Payments Ea Occ |
Enter limit: The each occurrence limit amount for premises medical payments coverage. |
|
COVERAGES |
Premises Medical Payments Premium |
Enter amount: The premium amount for premises medical payments coverage. |
ACORD 337 (2009/06) 58 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Products Liability Sales of Fuel & Oil |
Check the box (if applicable): Indicates the sale of fuel and oil option applies to the products liability coverage. |
|
COVERAGES |
Products Liability Extended |
Check the box (if applicable): Indicates the extended option applies to the products liability coverage. |
|
COVERAGES |
Products Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Products Liability Option Description |
Enter text: The description of the option being requested. Examples: Sale of Used Aircraft, Sale of New Aircraft, Parts Installed, Parts Not Installed, Food and Beverage, Pilot Supplies. |
|
COVERAGES |
Products Liability BI Ea Pers |
Enter limit: The bodily injury each person limit amount for products liability coverage. |
|
COVERAGES |
Products Liability Ea Occ |
Enter limit: The each occurrence limit amount for products liability coverage. |
|
COVERAGES |
Products Liability Aggr |
Enter limit: The aggregate limit amount for products liability coverage. |
|
COVERAGES |
Products Liability Premium |
Enter amount: The premium amount for products liability coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Completed Operations Liability Extended |
Check the box (if applicable): Indicates the extended option applies to the completed operations liability coverage. |
ACORD 337 (2009/06) 59 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
Completed Operations Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Completed Operations Liability Option Description |
Enter text: The description of the option being requested. Examples: Sale of Fuel and Oil, Parts Not Installed, Sale of New Aircraft, Sale of Used Aircraft, Restaurant Liability, Repair and Services. |
|
COVERAGES |
Completed Operations Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Completed Operations Liability Option Description |
Enter text: The description of the option being requested. Examples: Sale of Fuel and Oil, Parts Not Installed, Sale of New Aircraft, Sale of Used Aircraft, Restaurant Liability, Repair and Services. |
|
COVERAGES |
Completed Operations Liability BI Ea Pers |
Enter limit: The bodily injury each person limit amount for completed operations liability coverage. |
|
COVERAGES |
Completed Operations Liability Ea Occ |
Enter limit: The each occurrence limit amount for completed operations liability coverage. |
|
COVERAGES |
Completed Operations Liability Aggr |
Enter limit: The aggregate limit amount for completed operations liability coverage. |
|
COVERAGES |
Completed Operations Liability Premium |
Enter amount: The premium amount for completed operations liability coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Hangarkeepers Legal Liability Including Taxi |
Check the box (if applicable): Indicates the including taxi option applies to the coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability In Flight |
Check the box (if applicable): Indicates the in flight option applies to the coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability Option Description |
Enter text: The description of the option being requested. Example: Ground Only. |
ACORD 337 (2009/06) 60 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
Hangarkeepers Legal Liability Ea Aircraft |
Enter limit: The each aircraft limit amount for hangarkeepers legal liability coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability Ea Occ |
Enter limit: The each occurrence limit amount for hangarkeepers legal liability coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability Deductible |
Enter deductible: The deductible amount for hangarkeepers legal liability coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability Deductible Applies to |
Enter code: The code identifying what the deductible applies to. Examples: Each and Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence |
|
COVERAGES |
Hangarkeepers Legal Liability Deductible |
Enter deductible: The deductible amount for hangarkeepers legal liability coverage. |
|
COVERAGES |
Hangarkeepers Legal Liability Deductible Applies to |
Enter code: The code identifying what the deductible applies to. Examples: Each and Every Loss, Turbine Aircraft, Airline, Property Damage, Each Occurrence |
|
COVERAGES |
Hangarkeepers Legal Liability Premium |
Enter amount: The premium amount for hangarkeepers legal liability coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Fire Legal Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Fire Legal Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Fire Legal Liability Any One Fire |
Enter limit: The any one fire limit amount for fire legal liability coverage. |
|
COVERAGES |
Fire Legal Liability Premium |
Enter amount: The premium amount for fire legal liability coverage. |
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|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Personal Injury Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Personal Injury Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Personal Injury Liability Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Personal Injury Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Personal Injury Liability Ea Occ |
Enter limit: The each occurrence limit amount for personal injury liability coverage. |
|
COVERAGES |
Personal Injury Liability Aggr |
Enter limit: The aggregate limit amount for personal injury liability coverage. |
|
COVERAGES |
Personal Injury Liability Premium |
Enter amount: The premium amount for personal injury liability coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Advertising Liability Option Checkbox |
Check the box (if applicable): Indicates there is an option on advertising liability coverage. |
|
COVERAGES |
Advertising Liability Option Description |
Enter text: The description of the option being requested. |
ACORD 337 (2009/06) 62 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
Advertising Liability Option Checkbox |
Check the box (if applicable): Indicates there is an option on advertising liability coverage. |
|
COVERAGES |
Advertising Liability Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Advertising Liability Ea Occ |
Enter limit: The each occurrence limit amount for advertising liability coverage. |
|
COVERAGES |
Advertising Liability Aggr |
Enter limit: The aggregate limit amount for advertising liability coverage. |
|
COVERAGES |
Advertising Liability Premium |
Enter amount: The premium amount for advertising liability coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Contractual Liability Included |
Check the box (if applicable): Indicates contractual liability coverage is included in the policy. |
|
COVERAGES |
Contractual Liability Excluded |
Check the box (if applicable): Indicates contractual liability coverage is excluded from the policy. |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
ACORD 337 (2009/06) 63 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
|
COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
|
COVERAGES |
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) |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
|
COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
|
COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
|
COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
|
COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
ACORD 337 (2009/06) 70 of 71
|
Section Name |
Field Name |
Field and/or Section Description |
|
COVERAGES |
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). |
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COVERAGES |
Coverage Code |
Enter code: The code for the coverage. |
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COVERAGES |
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) |
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COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
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COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
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COVERAGES |
Option Checkbox |
Check the box (if applicable): Indicates a coverage option applies to the coverage. |
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COVERAGES |
Option Description |
Enter text: The description of the option being requested. |
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COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
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COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
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COVERAGES |
Limit |
Enter limit: The limit amount for the coverage. |
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COVERAGES |
Limit Applies to |
Enter code: The code identifying what the limit applies to (i.e. per occurrence). |
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COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
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COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
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COVERAGES |
Deductible |
Enter deductible: The deductible amount for the coverage. |
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COVERAGES |
Deductible Applies to |
Enter code: The code identifying what the deductible applies to. |
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COVERAGES |
Premium |
Enter amount: The premium amount for the coverage. |
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GENERAL INFORMATION |
Any aircraft other than single engine or multi-engine maintained, serviced, or repaired by applicant? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any aircraft other than single engine or multi-engine maintained, serviced or repaired by applicant?". As used here, If yes, enter number and type(s) of other aircraft. |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
ACORD 337 (2009/06) 71 of 71
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Section Name |
Field Name |
Field and/or Section Description |
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GENERAL INFORMATION |
Are aircraft owners permitted to perform any repair service or inspection of aircraft under supervision? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Aircraft owners permitted to perform any repair service of inspection of Aircraft under supervision?". |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
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GENERAL INFORMATION |
Highest value of aircraft maintained, serviced, or repaired: |
Enter amount: The highest value of aircraft maintained, serviced, or repaired. |
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GENERAL INFORMATION |
Does the applicant perform engine overhauls? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant perform engine overhauls?". |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
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GENERAL INFORMATION |
Does the applicant perform propeller overhauls? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant perform propeller overhauls?". |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
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GENERAL INFORMATION |
Does the applicant perform major airframe structural repairs? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant perform major airframe structural repairs?". |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
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GENERAL INFORMATION |
Does the applicant perform aircraft painting? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant perform aircraft painting?". |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
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GENERAL INFORMATION |
Does the applicant participate in the National Air Transportation Association (NATA) Safety First program? |
Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant participate in the National Air Transportation Association (NATA) Safety First program?". |
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GENERAL INFORMATION |
Explanation |
Enter text: An explanation of a response to a general information or underwriting question. Normally, "Yes" responses require an explanation. |
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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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