ACORD 62 RI (2006/01)

Universal wording updates to improve clarity and intent were made to all FIG text for this form on 02/05/2010.
Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 62 RI (2006/01)
Rhode Island Property
Supplement - Notice of Flood
Coverage Exclusion
ACORD 62 RI, Rhode Island Property Supplement - Notice of Flood
Coverage Exclusion, is used to comply with Rhode Island law which requires that the
applicant/named insured be informed that their insurance policy does not cover damage
from flood.
IDENTIFICATION SECTION Agency
Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION
Enter text: The mailing address line one of the producer/agency.
IDENTIFICATION SECTION
Enter text: The mailing address city name of the producer/agency.
IDENTIFICATION SECTION
Enter code: The mailing address state or province code of the producer/agency.
IDENTIFICATION SECTION
Enter code: The mailing address postal code of the producer/agency.
IDENTIFICATION SECTION Code
Enter code: The identification code assigned to the producer (e.g. agency or brokerage
firm) by the insurer.
IDENTIFICATION SECTION Subcode
Enter code: The identification code assigned by the insurer to the sub-producer (e.g.
person) within a producer's office (e.g. agency or brokerage).
IDENTIFICATION SECTION Applicant/Named Insured
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
IDENTIFICATION SECTION Company
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy.
Use the actual name of the company within the group to which the policy has been issued.
This is not the insurer's group name or trade name.
IDENTIFICATION SECTION Policy #
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
IDENTIFICATION SECTION Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
SIGNATURE
Applicant/Named Insured's
Signature
Sign here: Accommodates the signature of the applicant or named insured.
SIGNATURE
Date
Enter date: The date the form was signed by the named insured.
EDITION
Date
The editon identifier of the form including the form number and edition (the date is typically
formatted YYYY/MM).
ACORD 62 RI (2006/01)
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