Get Acord 37 Form Fillable – (Statement of No Loss PDF)
Acord 37 Fillable Form
The insurance industry often requires an Acord 37 form to ensure that no claims, damage, or losses have occurred within the specific period. It is commonly known as “Statement of No Loss.” This form provides information that an individual or business declares that no loss event occurred during the pending reinstatement or inactive policy. You can now obtain this fillable blank form by clicking the download button here. Moreover, you will understand the importance of this form in the insurance industry, the form-filling instructions and additional details to avoid policy cancellation.

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Why is the ACORD 37 Fillable Form Important?
This form provides transparent communication between insurers and policyholders. However, it informs that the business has no loss history, and it’s beneficial in the following scenarios.
For Insurers
This form helps insurers assess the risk and verify that no loss occurred during the inactive period, mitigating liability. Moreover, it protects them from claiming fraudulent losses during a specific period.
For Policyholders
This statement form provides approval for canceled policies or reinstating lapsed policies. It also demonstrates credibility, which creates trust between insurers and policyholders.
Binding New Coverage
If there is a gap between the old and new policies, this form helps provide a statement of no loss during that period to bind new policy coverage quickly.
Steps For Filling Out the Blank Acord 37 Form
This form is crucial, and you can fill it out accurately by following the given instructions:
1- Agency Information
In this section, you must write the agency’s full name, contact person’s name, phone number, fax number, email address, code, subcode, and customer ID number.
2- Insurer Information
You must write the insurer’s name, carrier’s name, NAIC (National Association of Insurance Commissioners) number, policy number, and approved by details.
3- Certificate Remarks and Signature
In this section, write the statement for not claiming any losses during the inactive policy. Then, mention the policy number and date of expiration. Below this portion, the applicant will sign it.
4- Receipt
Write the amount paid, the producer’s name (who received the payment), mention the witness, and get the producer’s signature with the date.
How To Download Free Fillable Form Acord 37?
Contact Insurance Agent
Contacting the insurance agent to obtain this form for renewing policy coverage after a gap is crucial. Provide all the essential information, and he/she will develop this statement form under the ACORD policy.
Official Website
You can simply get this form from the Acord’s official website. You must visit the official site, type the form’s name, and press “Search.” Then, click the download button to save this form on your device. Later, you can edit it and get a print for submission.
Third-Party Website
Forms Dude, a third-party website, is a hub for all insurance forms. You must type www.formsdude.com in the Google search engine. Now, click the “Insurance Forms” icon and type the form’s name (Acord 37 Form) in the search bar. Then, click the download button to save it on your device. Moreover, you can view the form, fill it out online, and get a print after completion.
Additional Details to Consider While Filling Out Acord 37 Form
You must consider the following details to provide accurate information for the loss statement:
Incorrect Dates
Ensure to mention the accurate date of the lapsed period for accuracy. Incorrect dates may lead to legal complications.
Missing Information
Make sure that no required field of the form is left blank. Any missing information causes delays in the renewal process.
False Declaration
You must avoid providing false information about the loss history. If found guilty, this may result in the cancellation of the policy.
Submission Process
You must submit this form as soon as possible to the authorized representative. This will help start the renewal or instate process early.
FAQs
What is the Acord 37?
It is a legal document required by the insurance industry. It provides a statement that no loss event occurred during the specific period. This form helps in binding new coverage or instating the policy coverage.
When is the Acord 37 Form Required?
This form is often required during the policy reinstatement, renewal, binding new coverage, and cancellation of policies.
What Information Do I Need to Complete the Acord 37?
To complete this form, you must gather all critical information, such as policy details, applicable date range, and the signature on the no-loss statement.
What Should I Do if I am Unsure about the Dates?
It is recommended to consult with your insurance agent and ensure the correct dates range during the specific period.