Acord 90 Form Fillable (PDF) – Kansas Personal Auto Application
Acord Form 90
An Acord 90 form complies with state regulations for applying for insurance coverage for personal autos. This form helps insurers collect all the essential information for underwriting the policy.
It is only acceptable in Kansas for auto insurance and covers the applicant’s and insured vehicle’s details. You can get this fillable form by clicking the download button below. Moreover, we will guide you through the filling-out instructions, their importance, and additional details to get enhanced coverage.

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Why is the ACORD 90 Fillable Form Important?
This form is developed under the Association for Cooperative Operations Research and Development (ACORD) policy and is often required in Kansas to fulfill the regulatory criteria. The following key objectives explain its importance in the insurance industry in the United States.
Consistency
The accurate information helps ensure consistency when gathering standardised information across applicants.
Efficiency
It ensures efficiency for underwriting the policy to assess the risks associated with business and calculate premiums.
Legal Protection
The concise information provides legal protection as strong communication between insurers and policyholders.
Simplifies the Claim Process
Accurate information about assets and liabilities helps insurers simplify the claim process for an unseen event.
How To Obtain a Fillable ACORD 90 Kansas Personal Auto Application
Contact Insurance Agent
Most states in the U.S. request to meet the unique regulatory criteria for enhanced coverage. If you are a resident of Kansas, you must consult your state insurance provider and ask for a meeting. Collect all the crucial information to avoid any delays in the process. Provide this information to the agent and complete this form with their help. Later, he/she will provide this form under the regulatory criteria.
Official Website
Acord’s official website offers a complete list of insurance forms to fulfill the intent. Visit the homepage and look for the required form in the search bar. Click the download button to save it, or fill it out online and get the print immediately.
Third-Party Website
Many third-party websites have a vast collection of insurance forms, such as Forms Dude. Type www.formsdude.com in the browser and visit the homepage. You can see the “Insurance Forms” category or type the form’s name (Acord 90 Form) in the search bar. Fill it out here and click the print button for an instant printout, or click the download button to save a blank fillable form on your device.
Step-by-Step Instructions for Filling Out the Blank Acord 90 KS Form
The following instructions will help you to complete this form accurately to get the required insurance coverage:
1- Agency Information
You must write the agency’s name, phone number, fax number, email address, code, subcode, and customer ID number.
2- Applicant Information
Write the applicant’s name and mailing address, including city, state, county, and city postal codes. Also, write the phone number, carrier’s name, NAIC (National Association of Insurance Commissioners) number, policy number, account number, effective date, expiration date, and payment plan.
3- Residence
In this section, write the type of residence (Owned or Rented), residence duration in the current and previous address, previous address, city name, state name, and zip code.
4- Additional Garaging Address
Write the location number, street, city, county, and zip code for every garaging address.
5- Vehicle Description/Usage
In this section, write the comprehensive description and usage of the vehicle, such as type, model, make, year, vehicle number, VIN, purchasing date, etc. Also, write the specific details of its usage and its specifications.
6- Coverage/Premiums
Write the limits of liability and amount for all types of coverage mentioned.
7- Resident & Drivers Information
In this section, write the driver’s full name as mentioned on the driving licence (First, Middle, and Last), gender, date of birth, occupation, LIC date, driving license number, and social security number.
8- Accidents/Convictions
You must write the driver number, date of accident/conviction, description, place of accident, injury or death, and amount of property damage.
Note: Attach Acord 99 – accident/conviction additional schedule if more space is required.
9- Additional Interest
Check the box for interest type and write the name, address, vehicle number, and loan number for additional interest.
10- Employment Information
In this section, write the name, address, official phone number, and experience of the applicant and co-applicant employer.
Note: Write the previous employer’s details if the current employer’s experience is less than 2 years.
11- Prior Coverage
Write the name of the prior carrier and producer, policy number, experience with the company, and expiration date.
12- General Information
In this section, write the answers in “Yes” or “No” and explain all “Yes” responses.
13- Remarks/Attachments
In this section, attach all the required documents and write specific remarks about the policy. Note: Attach 101 Acord Form if more space is needed.
14- Binder/Signature
In the last section, fill the binder section and get the applicant’s and the producer’s signatures with the date and national policy number.
Additional Details to Consider While Filling Out Acord 90 Form
You must consider these additional details to get protection against financial loss:
Avoid Incomplete Information
To avoid misleading, you must provide accurate and complete information about the nature of your business, vehicles, drivers, and required coverage.
Underreporting Usage
To assess the risk, you must clearly mention the usage of all vehicles. Misleading information may cause claims to be cancelled.
Use Digital Tools
You must prefer using digital tools to understand and process the application. Fill out this form electronically, upload supporting documents (if required), and track the status of the policy.
FAQs
What is the Acord 90 Form?
It is a legal document often required in Kansas (United States) and used to apply for personal auto insurance.
What Information is Required for the Kansas Personal Auto Application?
To complete the form, you must gather all crucial information about the applicant, drivers, vehicles, and required coverage.
Why is VIN Required on the Acord 90?
The Vehicle Identification Number (VIN) is the unique identity of each vehicle to ensure insurance coverage.
What is the Kansas Minimum Liability Coverage Limit?
The minimum liability coverage limit for property damage is $25,000, liability per person is $25,000, and bodily injury per accident is $50,000.