The Association for Cooperative Operations Research and Development (ACORD) forms are standardized documents used by the insurance industry.

This form is provided to a mortgage holder, loss payee, or other entity that requests proof of property insurance.

This form can be machine printed or handwritten. If it is handwritten, TotalAgility must be configured to use full-page recognition using either Tungsten Clarity or Azure AI Document Intelligence.

This form starts on the first page and does not have any cover pages.

Supported versions: 2005/03

Supported fields on this form:

• Date

• FaxThisRequestTo

• NameAndAddressOfRequester

• Phone

• Fax

• EmailAddress

• RequesterInterestInProperty

• NameOfUnitOwnerAndMailingAddress

• PropertyAndMortgageInformation_CondominiumAssociationOrCoOpAssociationName

• PropertyAndMortgageInformation_PropertyType_CondoUnit

• PropertyAndMortgageInformation_PropertyType_Other

• PropertyAndMortgageInformation_PropertyType_OtherTextbox

• PropertyAndMortgageInformation_TransactionType_Sale

• PropertyAndMortgageInformation_TransactionType_NameOfBuyer

• PropertyAndMortgageInformation_TransactionType_NameOfSeller

• PropertyAndMortgageInformation_TransactionType_Refinance

• PropertyAndMortgageInformation_TransactionType_NameOfPreviousLender

• PropertyAndMortgageInformation_TransactionType_ConfirmContinuationOfCoverge

• PropertyAndMortgageInformation_TransactionType_ClosingDate

• PropertyAndMortgageInformation_LendersPosition_LendersName_1

• PropertyAndMortgageInformation_LendersPosition_FirstMortgage_1

• PropertyAndMortgageInformation_LendersPosition_SecondMortgage_1

• PropertyAndMortgageInformation_LendersPosition_Other_1

• PropertyAndMortgageInformation_LendersPosition_OtherTextbox_1

• PropertyAndMortgageInformation_LendersPosition_LendersName_2

• PropertyAndMortgageInformation_LendersPosition_FirstMortgage_2

• PropertyAndMortgageInformation_LendersPosition_SecondMortgage_2

• PropertyAndMortgageInformation_LendersPosition_Other_2

• PropertyAndMortgageInformation_LendersPosition_OtherTextbox_2

• PropertyAndMortgageInformation_PropertyAddress_LegalDescription

• PropertyAndMortgageInformation_MortgageClause

• PropertyAndMortgageInformation_MortgageLoanNo

• PropertyAndMortgageInformation_SpecialInstructions

• Remarks