ACORD 81 Instructions Safe / Vault Information

How to Complete the ACORD 81 Safe/Vault and General Information

SAFE / VAULT INFORMATION

If none of the items above are kept in a vault you should skip this section.

Instructions for ACORD 81 Safe / Vault Info

BANK VAULT IN USE? (If "YES", Bank Address)

If a bank vault is being used check the check box on the left hand side of this row.

And Friend, if your answer must be YES, then you are challenged to enter the bank name and full physical address in the space to the left of the question. Good luck and God speed.

RESIDENT VAULT IN USE? (If "YES", complete the following)

If you are using a vault in your residence check the check box on the left hand side of this row.

Reader, if you answer YES, complete the remaining questions in this section.

LOC #

Enter the Location number from the Location Information section above to show where this vault is located.

MANUFACTURER

Enter the name of the manufacturer of this vault.

MODEL

Enter the manufacturer's model name or number for this vault.

LABEL

On the safe or vault there will be a rating label. This will be either UL for Underwriters Laboratories or SMNA for  Safe Manufacturer's National Association.

Check the box or boxes which apply.

CLASS

Quoting from the ACORD FIG for this form..."the construction classification representing the extent of burglary protection for this safe or vault. Use the classification from the Burglary label and not the Fire label located on the safe or vault. For industry definitions of the classifications, refer to the Commercial Lines Manual."

DOOR TYPE

Check the appropriate check box to indicate whether the safe or vault door is a square door or a round door. I would say if it is not square or triangular, then it is round.

COMBINATION LOCKS

Check any and/or all the check boxes which may apply to whether there are Outer Combination Locks, Inner Combination Locks and/or Chest Combination Locks.

THICKNESS

Enter the DOOR thickness in inches. Do not measure at the Bolt.

Enter the WALL  thickness in inches.


GENERAL INFORMATION

Instructions ACORD 81

On each additional page of any ACORD form there is a space in the top right corner to enter your Agency Customer ID. You may recall you entered this on the first page.

If you are using an electronic forms system such as our Simply Easier ACORD Forms this data will automatically flow through from the previous page. If not enter that info here is your agency is customer ID's.

ACORD 81 General Information Instructions

There are eleven General Information questions. The format is you place a Y for YES or an N for NO in the far right hand column to answer each question in the corresponding row.

If you answer YES to any of these questions you then have to explain more in the box with the question.

ANY PROTECTIVE DEVICES / SYSTEMS IN USE?

If so describe the devices or systems with the name and model number of the device or system.


WILL ANY PROPERTY BE EXHIBITED?

If Yes, answer the following in the box labeled...

PROPERTY - describe the item(s)

EXHIBIT LOCATION - enter address

TYPE OF EXHIBITION

TYPE OF SECURITY - describe the security at the exhibition

DURATION - How long will the item(s) be on exhibit?


WILL ANY SPECIAL RESTRICTIONS /  ENDORSEMENTS APPLY?

If so, list them here.

IS ANY PROPERTY USED PROFESSIONALLY / COMMERCIALLY?

If so explain that use. You may need to cover this under a commercial form.

ANY OTHER INSURANCE WITH THIS COMPANY? (List policy numbers)

Enter the responses in the appropriate boxes below this question.

LINE OF BUSINESS

POLICY NUMBER

LINE OF BUSINESS

POLICY NUMBER

If you need more space use the ACORD 101 Additional Remarks Schedule.


HAS ANY COVERAGE BEEN DECLINED, CANCELLED OR NON-RENEWED DURING THE LAST THREE (3) YEARS

You cannot answer this question if your customer is a resident of Missouri.

HAS APPLICANT HAD A FORECLOSURE, REPOSSESSION, BANKRUPTCY OR FILED FOR BANKRUPTCY DURING THE PAST FIVE (5) YEARS?

HAS INSURANCE BEEN TRANSFERRED WITHIN THE AGENCY?

DURING THE LAST FIVE (5) YEARS (TEN (10) YEARS IN RHODE ISLAND), HAS ANY APPLICANT BEEN INDICTED FOR OR CONVICTED OF AY DEGREE OF THE CRIME OF FRAUD, BRIBERY, ARSON OR ANY OTHER ARSON-RELATED CRIME IN CONNECTION WITH THIS OR ANY OTHER PROPERTY?
(In Rhode Island failure to disclose the existence of an arson conviction is a misdemeaner punishable by a sentence of up to one (1) year of imprisonment.)


PRIOR INSURANCE?

List the INSURER NAME and the POLICY NUMBER of the company providing this coverage in the immediate preceding year.



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Instructions for ACORD 81 Coverage Info and Property Class

How to Complete the ACORD 81 Property Class and Coverage Information

PROPERTY CLASS / COVERAGE INFORMATION

ACORD 81 Property Class Info

Dear Reader, please note the first 13 rows in the two left hand columns of the Property Class /  Coverage Information Section are pre-filled. Rows 14 through 21 are available for you if the items you want covered by this policy do not fall under any of these descriptions. I suppose you are left to your own devises to make up your own Class abbreviation. Take heart. you can do this.

LOC #

ACORD 81 Property Class Location Instructions

Enter the location number from the Location Section into the column on the row corresponding to the property class.

In plainer English, if you are insuring FURS located at Location #1, enter #1 in the row to the immediate right of the word FURS.

LOSS SETTLEMENT (ACV/RC)

ACORD 81 Lost Settlement Instructions

Enter the code for the type of valuation to be used to determine the amount to be paid in the event of a claim.

ACV stands for actual cash value.

RC is replacement cost

.
COVERAGE QUALIFIERS

Instructions for ACORD 81 Coverage Qualifiers

For each property class for which your are requesting coverage enter one or more Coverage Qualifiers from the list at the bottom of this section.

The options listed are...


AR, All Risk (used for guns)
BB, Blanket Basis
BE, Breakage Exclusion
Buy-Back
BF, Broad Form Pair and Set
BR, Broad Form (used for guns)
DP, Depreciated (used for furs)
ED, Limited Editions
LE, Laser Engraved
NO, Non-mobile Organ
NS, Non Standard
SB, Scheduled and Blanket Basis
SC, Safe Credit
SL, Scheduled Basis
T1, Tiered Rating 1
T2, Tiered Rating 2
T3, Tiered Rating 3
T4, Tiered Rating 4
T5, Tiered Rating 5
T6, Tiered Rating 6
T7, Tiered Rating 7
T8, Tiered Rating 8
T9, Tiered Rating 9
UA, Unattended Automobile
VC, Vault Credit


PROFESSIONAL/COMMERCIAL USE (Y/N)

ACORD 81 Instructions - Professional or Commercial USe

Enter "Y" if the items to be covered in this row are used commercially or professionally.

If they are not, enter "N".


EXHIBITED / IN VAULT / BLNKT COV (Y/N)

ACORD 81 Instructions

EXHIBITED (Y/N)

If the item(s) to be covered in this row are Exhibited enter a "Y". It not, enter an "N".


IN VAULT (Y/N)

If the item(s) in this row are normally kept in a vault enter "Y". If not, enter "N".

If they are kept in a vault you will need to complete the next section SAFE/VAULT INFORMATION.

BLNKT COVE? (Y/N)

If the item(s) in the row are covered under blanket coverage  enter "Y". If not, enter "N".


DED / AMOUNT OF INSURANCE / RATE / PREMIUM

How to Complete the ACORD 81

DED

Enter the Deductible amount or percent which is to apply to item(s) in this row.

AMOUNT OF INSURANCE

Enter the dollar amount of coverage you want to apply to item(s) in this row.

RATE

Enter the rate - if you know it - for the item(s) in this row. If you do not know the rate, leave this blank.

PREMIUM

Enter the Premium for the item(s) in this row. If you do not know the rate, you will not be able to know the premium. In that case leave this blank.

TOTAL

If you entered amounts in the PREMIUM fields, add those all up and put the sum in the Total field.


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How To Complete the ACORD 81 Personal Inland Marine Application

Instructions for ACORD 81 Applicant and Location Info Section

Instructions ACORD 81 Personal Inland Marine App

APPLICANT INFORMATION

APPLICANT's NAME AND MAILING ADDRESS (Include county & ZIP+4)

Type in your customer's name and address exactly as you want it to appear on the policy declaration page.

Include the County name.

When entering the ZIP code be sure to include the four digit extension - ex: 27715-2936.


DATE AT CURRENT RESIDENCE

This is asking for the date your customer moved into this residence. Do not worry about the day of the month. If they have been there a long time - like I have lived at the same address for 29 years, I suppose just putting that in would be fine.

PRIMARY PHONE #

Enter the first number your customer would like you or the carrier to use to contact them by phone. Check the box to show if this is a HOME, BUSINESS or CELL phone number.

SECONDARY PHONE #

Not required. There are some people who will not have a secondary number. But if they do give you permission to use a second number, do the same here as for the PRIMARY number.

PRIMARY E-MAIL ADDRESS

Enter your customer's email address they would like you or the carrier to use. NOTE: You cannot legally require your customer to give you any email address.

SECONDARY E-MAIL ADDRESS

If your customer has a back up email address for your use, enter that address here.

BIRTH DATE

Enter the Named Insured's date of birth. The Birth Date would technically be just teh month and day. This is actually a request for the month day and year.

MARITAL STATUS / CIVIL UNION (If applicable)

NOTE: This cannot be used - and so should not be entered for a California resident.

The codes you are expected to use are...

 S      Single
 M     Married
 D      Divorced
 F      Fiancé or Fiancée
 P      Separated
 W    Widowed
 C      Domestic Partner (unmarried)
 V      Civil Union/ Registered Domestic Partner
 U      Unknown
 O      Other

Since this is listed nowhere on the form I am uncertain how you are supposed to have known this.

ACORD 81 Personal Inland Marine Application Applicant Occupation

APPLICANT'S OCCUPATION ( State Nature of Business if Self-Employed)

Enter a text description of the job this person has.

CO-APPLICANT'S OCCUPATION ( State Nature of Business if Self-Employed)

Enter a text description of the job this person has.


LOCATION INFORMATION

Instructions for ACORD 81 Location Information

LOC #

This number will be used in the following sections to keep you from having to list the entire location address repeated throughout this application.

Enter the number of this location. I would suggest starting with the number 1 unless there is some reason this insured has other documents listing this location as something else.

Enter this for each row that has a location listed.


LOCATION O F PROPERTY

Believe it or not yo are supposed to enter the street address, the city, the county, the state and the ZIP code +4 in this sort of small space.

TERR CODE

The territory code which identifies the rating territory for this location. This territory will be assigned by the State Dept of Insurance, ISO or sometimes by the insurance company.

CONSTRUCTION TYPE

The primary construction type of this location. That usually means more than 50% of the structure is this type of construction. For example, if the house has a brick veneer siding on the front, but the back  ans sides are frame, the construction type would be frame.

The common construction types are...

 Frame
 Joisted Masonry
 Non-Combustible
 Masonry Non-Combustible
 Modified Fire Resistive
Fire Resistive

DWELLING TYPE

Examples would be single family home, duplex, apartment or condo.

PROT CLASS

The protection class of the primary responding fire department. Protection classes are assigned by the state department of insurance, ISO, AIS or other groups.

# FAM

Enter the number of separate family units at this location. This is not asking how many families live in the specific unit - for instance, parents and grown and / or married children living at home are not what is being asked.

FIRE DISTRICT NAME

The name of the primary responding fire department. Not all locations are covered by a fire department. They will not be in a fire district. In that case leave this blank.

FIRE DISTRICT CODE

This code can be found in each state's manual for rating fire districts.



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Instructions for ACORD 81 Personal Inland Marine Application

How to Complete the ACORD 81 Personal Inland Marine Application

Instructions for ACORD 81 Personal Inland Marine Application

The ACORD 81 Personal Inland Marine Application is the most common inland marine form used by the average insurance agent. It is where you make up for many of the standard homeowner policy limits on items such as jewelry, furs, golf clubs, china, silverware and more.

Learn to use it well and you can protect yourself and your agency from unpleasant consequences down the road.

AGENCY INFORMATION

DATE - the date you are completing this document. Enter it in the 01/01/2015 format to make it easier for computer systems to get the date correctly. You know computers are not all that smart yet. We still have to hold their hands.

AGENCY INFORMATION - Enter the agency name and address.

CONTACT NAME - the agent / producer's name.

PHONE (A/C, No, EXT) - The producer's work phone number. A/C stands for area code. "No" stands for number. "EXT" stand for extension.

FAX (A/C, No) - the producer's FAX number. A/C stands for area code. "No" stands for number.

E-MAIL ADDRESS - the agent's work e-mail address. It is a prudent idea to never use your personal e-mail address for your work e-mail. It is also a very good idea to not use a personal mobile phone or tablet fro work. Don't get your work e-mails or text messages on your phone or personal tablet. If you do use your personal devices and you ever leave your current agency, just by having that information on your personal device you will have violated privacy laws. You do not need to be charged with a felony for this, so don't use your personal cell phone, email or devices for work.

CODE: The producer code assigned by the carrier to your agency.

SUBCODE: The producer code assigned by the carrier or your agency management system. You really want to do this if this is used for determining your commission at the end of each month.

AGENCY CUSTOMER ID: The customer ID number assigned by your accounting or management system if that system is so old it still uses customer numbers instead of names.

POLICY INFORMATION

POLICY NUMBER: If the policy has been issued, enter the policy number here. If not you should either enter TBD for "to be determined" or leave blank.

PLAN: If your insurer has a product code and you happen to know it for some reason, enter that here. Otherwise leave this blank.

FACILITY CODE: If this coverage is in an Assigned risk plan, a FAIR plan or some similar market facility, enter the code and name of that plan.

EFFECTIVE DATE - the date coverage under this policy begins.

EXPIRATION DATE - the date coverage under this policy ends.

CARRIER INFORMATION

ACORD 81 Personal Inland Marine Application Instructions

CARRIER - enter the name of the insurance company which is being asked to provide the insurance requested on this application.

NAIC CODE

NAIC stands for the National Association of Insurance Commissioners.

Here is their website home page...

http://www.naic.org/index.htm

They assign each insurance company a five digit code. You can search for any insurance company by name on their website at this page...

https://eapps.naic.org/cis/


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