ACORD 62 NY (2009/04)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 62 NY (2009/04)
Application For Dwelling
Insurance - New York Property
Insurance Underwriting
Association
ACORD 62 NY, Application For Dwelling Insurance - New York
Property Insurance Underwriting Association, is used to apply for dwelling property
insurance with the New York Property Insurance Underwriting Association (NYPIUA). See
ACORD 67 NY, for instructions on the completion of this form. Contact the New York
Property Insurance Underwriting Association if further information is required.
ACORD 62 NY (2009/04) rev. 01-15-2010
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