ACORD Form 63 Fraud Statements Instructions

 

Section Name	Field Name	Field and/or Section Description
		Most states have enacted anti-fraud statutes that prescribe specific fraud warning text for disclosure notices to applicants for insurance and/or claimants.
		In the case of claimants, the back of each ACORD loss notice contains the required fraud warning in compliance with state laws and regulations.
		With respect to applications, all ACORD applications include the required fraud warning or ACORD 63 must be attached (See below).
TITLE ACORD 63 (2009/04)	Fraud Statements	NOTE: When a risk is located in more than one state, the applicable law is the law in effect for the state in which the insurance policy is written, or the insurance claim is made.
INFORMATION	California	All claim forms, and auto applications contain the required text.
INFORMATION	Colorado	ACORD 63 responds.
		ACORD has secured agreement among these state regulators to recognize the "standard" fraud warning text included in all ACORD applications.
INFORMATION	Arkansas, Kentucky, New Mexico, New York	Companies with unique, program-specific countrywide applications should consider inserting ACORD's "standard" text, in their applications.
INFORMATION	District of Columbia	ACORD 63 responds.
INFORMATION	Florida	ACORD 63 responds.
INFORMATION	Hawaii	ACORD 63 responds.
	Idaho, Indiana, Nevada, New
INFORMATION	Hampshire	Claim forms only.
INFORMATION	Louisiana, Maine and Virginia	The "standard" ACORD fraud statement has been revised to respond to these states.
	Massachusetts, Nebraska, Oregon
	and Vermont	ACORD 63 responds.
		Regulators are enforcing law requiring specific fraud text in claim forms, but are not
INFORMATION	Michigan, Minnesota	requiring that warnings be included in applications.
	Arizona, New Jersey,	Claim forms and Applications. These states also accepted ACORD's "standard" text, and
INFORMATION	Pennsylvania, Tennessee	also recognize supplements to applications.
INFORMATION	Ohio	Claim forms and applications. ACORD 63 responds.
INFORMATION	Oklahoma	Claim forms, insurance policies and applications. ACORD 63 and 63 OK respond.
INFORMATION	Washington	ACORD 63 responds.
TYPE OF INSURANCE	Type of Insurance	Enter text: Type of insurance associated with the fraud notice.

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