The Acord 37 is a standardized insurance form that certifies an insured does not have any losses or claims from a period of lapse in coverage. Signed copies may be required during reinstatement reviews. You can find a blank copy of this form linked here.
A properly completed Acord 37 must include the following:
- The correct cancellation date
- The "Date and Time Signed" must be currently dated at the date of reinstatement processing
- All policy numbers for which the cancellation date has applied must be disclosed
- If eSigned, we will require a copy of the eSignature audit trail
Example:
