ACORD 65 KY (2011/01)

Section Name

Field Name

Field and/or Section Description

TITLE

ACORD 65 KY (2011/01)

Kentucky FAIR Plan Dwelling Fire

Application

Use ACORD 65 KY, Kentucky FAIR Plan Dwelling Fire Application, to apply for dwelling

fire insurance coverage through the Kentucky FAIR Plan. Contact the Kentucky FAIR

Plan for instructions on the completion of this form.

ACORD 65 KY (2011/01) rev. 12-27-2010

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