Broker Of Record Acord Form - Acord forms increase your efficiency. Agent/broker of record (acord 36) is now agent retained. Please secure a signed form prior to submitting your request. Agent/broker of record change date (mm/dd/yyyy) policy number(s) effective date expiration date named insured line. Since our first paper form was released in 1971, acord has provided the standard forms used by the. Agent/broker of record change please be advised that we wish to name as our exclusive representative effective.
Agent/broker of record change please be advised that we wish to name as our exclusive representative effective. Acord forms increase your efficiency. Please secure a signed form prior to submitting your request. Since our first paper form was released in 1971, acord has provided the standard forms used by the. Agent/broker of record (acord 36) is now agent retained. Agent/broker of record change date (mm/dd/yyyy) policy number(s) effective date expiration date named insured line.