ACORD 64 SC (2008/03)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 64 SC (2008/03)
South Carolina Personal Property
Supplement - Cancellation Rules
Disclosure
ACORD 64 SC, South Carolina Personal Property Supplement, complies with South
Carolina law affecting applicants for homeowners, mobile homeowners, and dwelling fire
policies. These applicants must be advised that the insurer can cancel the policy without
cause during the first one hundred twenty (120) days, and that cancellation thereafter can
only be for reasons stated in the policy.
Use with ACORD 88, Personal Insurance Application and ACORD 89, Residential Section.
NOTE: South Carolina law provides that for personal auto policies the insurer can cancel
the policy during the first ninety (90) days. ACORD 90 SC, the personal auto application,
provides this disclosure.
IDENTIFICATION SECTION Agency Customer ID
Customer's identification number assigned by the agency or brokerage.
IDENTIFICATION SECTION Agency
Producer's name.
IDENTIFICATION SECTION Policy Number
The number assigned by the insurance company for the policy. In general, policy numbers
will not appear on new business applications since they are not known at that point in time.
IDENTIFICATION SECTION Carrier
Name of the insurance company (or residual market plan) that will receive the application.
Do not use group names, use the actual name of the company within the group in which
you wish to have the policy issued.
IDENTIFICATION SECTION NAIC Code
The identification code assigned to the company by the NAIC.
IDENTIFICATION SECTION Applicant / Named Insured(s)
Full name of the applicant as it should appear on the policy. The First Named Insured is
given certain rights and responsibilities by the policy contract language. If more than one
insured is named, be sure the one intended to receive these rights and responsibilities is
named first and any additional insureds identified as such. If joint ownership, the name
used may include both names (e.g., John and Mary Smith).
CANCELLATION
DISCLOSURE
Applicant's Signature
Applicant / Named Insured must sign the application.
CANCELLATION
DISCLOSURE
Date
Date the application was completed. (MM/DD/YYYY)
CANCELLATION
DISCLOSURE
Effective Date
Enter the effective date of the policy. (MM/DD/YYYY)
ACORD 64 SC (2008/03)
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