Establishing secure connection…Loading editor…Preparing document…

Insurance Acord 137 Form

This template is fully customizable. Edit the text, fill out the fields, and send it for signature. Give it a try!

Insurance Acord 137 Form

Applicant / Insured Information

Policy Details

Policy Period: From to .

Coverage Sections

Select applicable coverage types and specify limits where different than policy limit.

Exclusions and Endorsements

List specific exclusions, endorsements, or conditions that materially alter coverage under the referenced policy. Attach additional pages if necessary.

Beneficiary / Loss Payee

Provide beneficiary(ies) or loss payee details for claims settlement or policy proceeds distribution.

Claims / Loss History (Last 5 Years)

List material losses or claims that are within the policy period or that may reasonably be expected to give rise to a claim under the requested coverage.

Declaration and Certification

The undersigned applicant declares that the information contained in this form is true and complete to the best of the applicant's knowledge. The applicant understands that this form is furnished to the insurer(s) and may be relied upon in the underwriting and rating of the policy. Any material misstatement, omission, or concealment of fact may constitute grounds for denial of coverage or rescission of the policy pursuant to applicable law and policy provisions.

The applicant authorizes the insurer and its representatives to make any investigation of credit, background, loss history, or other information deemed necessary in connection with the underwriting and servicing of the policy. The applicant acknowledges that this form does not bind coverage, create any rights in favor of any third parties, nor alter or amend any policy terms unless endorsed in writing by the insurer.

By signing below, the applicant certifies that they are authorized to bind the named insured and that they have read and accept the statements contained in this document.

Printed Name:

Signature:

Date:

Enter text✕

What the Insurance Acord 137 Form Is and when it matters

The Insurance Acord 137 Form is a standardized insurance reporting form used by insurers, agents, brokers, and commercial clients to summarize coverage details for third parties such as lenders, mortgagees, or certificate holders. It consolidates insurer name, policy numbers, coverage types, effective and expiration dates, and limits in a consistent layout so recipients can verify insurance status quickly. The form is not a policy but a representation of coverages in force; recipients should review the underlying policy for exclusions, endorsements, and conditions that may affect coverage or claim handling.

Why the Insurance Acord 137 Form is useful

The Insurance Acord 137 Form provides a concise, machine-readable summary of coverages and policy metadata so lenders, escrow agents, and counterparties can confirm insurance compliance without reviewing full policies. It reduces ambiguity, standardizes requests, and speeds underwriting and closing workflows.

Why the Insurance Acord 137 Form is useful

Who completes and relies on the Insurance Acord 137 Form

Typical users prepare, transmit, or review ACORD 137 forms during insurance placement, loan closings, and corporate contracting.

  • Insurance agents and brokers who assemble policy details and deliver certificate-level summaries to lenders or named insureds.
  • Mortgage lenders, servicers, and escrow agents who require proof of insurance before funding or closing.
  • Commercial risk managers and corporate procurement teams that track vendor insurance compliance across projects.

Understanding each party's role helps ensure correct data populates the form and reduces follow-up requests or exposure gaps.

Core components found on a professional Insurance Acord 137 Form

A complete ACORD 137 form contains fields that uniquely identify the insured, insurer, policy, coverage types, limits, and parties to be notified; accuracy in each area prevents misunderstandings and processing delays.

Insured

Full legal name of the insured party as shown on the policy, used to match to contract or mortgage documents.

Insurer

Primary insurer name, NAIC code or carrier identifier to confirm the issuing company and underwriting authority.

Policy Details

Policy number, effective date and expiration date that define the period of coverage and trigger verification checks.

Coverage Types

Named coverage lines (e.g., general liability, property, professional liability) with shorthand codes for quick review.

Limits

Per-occurrence and aggregate limits stated in currency amounts to establish financial caps on insurer exposure.

Certificate Holder

Name and address of the party requesting proof of insurance, and any required additional insured or loss payee language.

Required fields and essential data elements

Named Insured: Full legal name
Policy Number: Identifier on policy
Effective Date: MM/DD/YYYY
Expiration Date: MM/DD/YYYY
Coverage Limits: Currency amounts
Certificate Holder: Recipient name

Step-by-step: completing an Insurance Acord 137 Form

Follow these core steps to prepare a correct ACORD 137 form and reduce back-and-forth with requestors or underwriters.

  • 01
    Gather policies: Collect all relevant policy declarations and endorsements before populating the form.
  • 02
    Verify names: Confirm insured and certificate holder names exactly match contract or loan documents.
  • 03
    Enter dates and limits: Fill policy effective/expiration dates and limits in standard numeric formats.
  • 04
    Review and deliver: Proofread entries, add endorsements if required, then send via agreed distribution channel.

Configuring a digital workflow for ACORD 137 completion

When you move ACORD 137 forms online, define fields, signer roles, and notifications to match business controls and review steps.

Field Configuration
Named Insured field Required text field with validation
Policy Number field Required, no special characters
Dates fields MM/DD/YYYY validation
Certificate Holder field Auto-fill from contact list

Where to send and how the ACORD 137 is used downstream

ACORD 137 forms are typically transmitted to certificate holders, lenders, escrow agents, and internal risk teams; choose the appropriate recipient to avoid processing delays.

  • Lender delivery: Sent to the mortgagee or servicer for closing conditions.
  • Broker distribution: Brokers provide copies to clients and certificate holders.
  • Insurer retention: Carrier retains a copy for policy records and audit.
  • Internal risk: Uploaded to risk register or compliance repository.

Digital signing, eSubmission, and technical considerations

Electronic completion requires a platform that supports fillable PDFs, authentication, and audit trails.

  • File formats: PDF, DOCX supported
  • Integrations: CRM and storage connectors
  • Auth options: Email, SMS, or KBA

Timing: when to produce and update the ACORD 137

Provide the completed ACORD 137 whenever a contract, loan, or vendor request requires proof of insurance; timing affects closing and risk acceptance.

Upon request:

Send immediately when a certificate is requested by a lender or counterparty.

Before closing:

Provide documentation early enough for underwriting review and any endorsement processing.

On renewal:

Update the certificate when a policy renews or coverage terms change.

After endorsement:

Issue a revised certificate if endorsements alter additional insured or loss payee status.

Claims-triggered:

Retain exact issuance time and content for claims and subrogation support.

Common mistakes to avoid when preparing an ACORD 137

  • Using an informal or abbreviated insured name that does not match the policy declarations, causing verification failure or backup withholding.
  • Entering incorrect policy numbers or dates that indicate a lapse in coverage and trigger lender holdbacks or denial of acceptance.
  • Omitting required endorsements such as additional insured or waiver of subrogation when the contract specifically requires them.
  • Sending a certificate without referencing the loan or contract number, which increases reconciliation time and administrative follow-up.

Consequences of incorrect or incomplete ACORD 137 submissions

Contract Delay: Closing or funding may be delayed
Coverage Gap: Claims may be denied for missing endorsements
Financial Risk: Counterparty exposure increases
Regulatory Review: Auditors may flag inadequate records
Reputational Harm: Stakeholder trust may erode
Operational Cost: Time and legal fees to correct

Comparing eSignature vendors for completing and distributing ACORD 137 forms

Vendor selection can affect cost, throughput, integration, and compliance. The table below compares basic pricing and capacity characteristics across common providers with signNow listed first.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes Yes Yes Yes No
Audit Trail Yes Yes Yes Yes Yes
Envelope Cap No cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Practical examples: how ACORD 137 is used in real workflows

Two typical scenarios show how an ACORD 137 speeds verification and where extra documentation may be required.

Insurance Broker

A broker prepares the ACORD 137 to confirm client coverages

  • Quick summary used instead of policy review
  • The broker attaches endorsements when additional insured or waiver language is required, reducing lender follow-up and closing delays.

Mortgage Lender

A lender requests an ACORD 137 before funding

  • Certificate confirms required limits and effective dates
  • If the form shows insufficient limits, the lender requests an endorsement or updated policy prior to disbursement to mitigate credit risk.

Frequently asked questions about the Insurance Acord 137 Form

Answers to common questions about completion, legal validity, and electronic delivery of ACORD 137 forms.


Need help? Contact support

be ready to get more
Join over 28 million airSlate SignNow users