What is a Fillable Broker of Record Form and How It Works

Definition and Meaning of a Fillable Broker of Record Form

A fillable Broker of Record (BOR) form is a digital document that allows insurance policyholders to designate a new insurance agent or broker to manage their insurance policies. This form serves as a legal instrument that formally transfers authority from an existing agent to a new one. By completing this form, policyholders empower the new broker to act on their behalf regarding negotiations, renewals, and service requests with insurance carriers.

The BOR form is crucial for ensuring that the new broker has the necessary authority to handle all aspects of the policy, including making changes, filing claims, and communicating with the insurance company. It is important to note that this form must be signed and dated by the policyholder to be valid.

How to Use the Fillable Broker of Record Form

To effectively use a fillable Broker of Record form, follow these steps:

  • Download the form: Obtain the fillable BOR form from a reliable source, ensuring it is the most current version.
  • Fill in your information: Enter your personal details, including your name, address, and policy number. Ensure accuracy to avoid delays.
  • Provide broker details: Include the new broker's name, agency, and contact information. This is essential for the insurance company to recognize the new representative.
  • Sign and date the form: Your signature is necessary to validate the form. Ensure you date it correctly.
  • Submit the form: Send the completed form to your insurance carrier as per their submission guidelines.

Using the fillable BOR form streamlines the process of changing your insurance representation, allowing for a smoother transition to your new broker.

How to Obtain the Fillable Broker of Record Form

The fillable Broker of Record form can be obtained through several avenues:

  • Insurance company website: Many insurance providers offer downloadable versions of the BOR form on their websites.
  • Insurance broker or agent: Your current or new broker can provide you with the appropriate form directly.
  • Industry associations: Organizations related to insurance may have templates available for members.

Ensure you are using the correct form version as required by your specific insurance carrier, as different companies may have variations.

Steps to Complete the Fillable Broker of Record Form

Completing the fillable Broker of Record form involves several key steps:

  • Review the form: Familiarize yourself with all sections of the form before filling it out.
  • Input your details: Carefully enter your information, including your full name, address, and the policy number associated with the insurance.
  • Enter broker information: Provide the new broker's name and agency details. This ensures that the insurance company recognizes the new representation.
  • Sign the form: Your signature is essential for the form to be legally binding. Make sure to include the date.
  • Submit the form: Follow your insurance provider's instructions for submission, whether online, by mail, or in person.

Each of these steps is crucial for ensuring that the transfer of authority is executed smoothly and legally.

Why Should You Use a Fillable Broker of Record Form?

Utilizing a fillable Broker of Record form is beneficial for several reasons:

  • Legal authority: It provides a formal mechanism to authorize a new broker, ensuring that they can act on your behalf.
  • Streamlined process: The fillable format allows for easy completion and submission, reducing paperwork hassle.
  • Clarity and transparency: It clearly defines the relationship between you and your new broker, minimizing misunderstandings.

By using this form, you can ensure that your insurance needs are managed effectively by the right professional.

Who Typically Uses the Fillable Broker of Record Form?

The fillable Broker of Record form is commonly used by:

  • Insurance policyholders: Individuals or businesses looking to switch brokers for better service or rates.
  • Insurance agents: Brokers who are taking over the management of a policy from another agent.
  • Insurance companies: To maintain accurate records of who is authorized to manage policies.

This form is essential for anyone involved in the insurance process, ensuring that all parties are clear about their roles and responsibilities.

Key Elements of the Fillable Broker of Record Form

Important components of a fillable Broker of Record form include:

  • Policyholder information: Full name, address, and contact details.
  • Policy details: Specific information about the insurance policy being managed.
  • New broker information: Name, agency, and contact details of the new broker.
  • Signatures: Required signatures from the policyholder and, in some cases, the new broker.

Each of these elements is crucial for the form's validity and effectiveness in transferring authority.

Legal Use of the Fillable Broker of Record Form

The fillable Broker of Record form serves a legal purpose in the insurance industry. It is recognized as a binding document that authorizes a new broker to act on behalf of the policyholder. To ensure its legal validity, the following must be considered:

  • Signature requirements: The form must be signed by the policyholder to be enforceable.
  • Compliance with state laws: Different states may have specific regulations regarding the use of BOR forms.
  • Submission to the insurance provider: The completed form must be submitted to the appropriate insurance carrier for processing.

Understanding the legal implications of this form is essential for both policyholders and brokers to avoid potential disputes.

Examples of Using the Fillable Broker of Record Form

Practical examples of using a fillable Broker of Record form include:

  • Switching brokers: A policyholder dissatisfied with their current broker may fill out the BOR form to authorize a new broker who offers better service.
  • Business changes: A company may need to change brokers due to a merger or acquisition, requiring the completion of a BOR form to update their insurance representation.
  • Policy updates: If a policyholder wants to change the broker managing their policy for any reason, the BOR form is the official way to facilitate this change.

These scenarios illustrate the form's versatility and importance in various contexts.

By signNow's Team
By signNow's Team
December 30, 2025
GO BEYOND ESIGNATURES

Business Cloud

Automate business processes with the ultimate suite of tools that are customizable for any use case.

  • Award-winning eSignature. Approve, deliver, and eSign documents to conduct business anywhere and anytime.
  • End-to-end online PDF editor. Create, edit, and manage PDF documents and forms in the cloud.
  • Online library of 85K+ state-specific legal forms. Find up-to-date legal forms and form packages for any use case in one place.