District of Columbia Property Insurance Facility |
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Those needing coverage are encouraged to first contact their local agent. Individuals may contact the Facility directly to apply for coverage. WHO MAY FILE APPLICATION Application may be filed directly by any person or legal entity having an insurable interest in the property. Application may be filed on behalf of the applicant by a Producer licensed by the Department of Insurance and Securities Regulation of the District of Columbia. NEW BUSINESS APPLICATION The Homeowners application form consists of 2 pages. A signed copy of the application must be submitted to the Facility. The producer or applicant should make a copy of the completed application for their records. Upon receipt by the Facility application forms are reviewed for proper completion: If application is being made directly, please review the Customer Information Sheet for more information The following forms are available to download and print locally. Once completed, the original signed copy should be mailed to the Facility at: 170 W. Ridgely Road, Suite 230 A copy of the completed and signed application should be retained for your records. FORM NO. DESCRIPTION ACCORD HOMEOWNERS APPLICATION Effective October 2010-Page 1 ACCORD HOMEOWNERS APPLICATION Effective October 2010-Page 2 DC HOMEOWNERS INFORMATION DIGEST for policies effective on or after October 1, 2010 ACCORD HOMEOWNERS APPLICATION effective before October 1,2010-Page 1 ACCORD HOMEOWNERS APPLICATION effective before October 1, 2010-Page 2 DC HOMEOWNERS INFORMATION DIGEST for policies effectife before October 1, 2010 ACCORD FORM 64-DCPIF FORM NO.1 FIRE Insurance APPLICATION (New Business) |