ACORD 65 MD (2013/10) - MARYLAND PROPERTY INSURANCE AVAILABILITY

ACORD 65 MD (2013/10) - MARYLAND PROPERTY INSURANCE AVAILABILITY

ACORD 65 MD, Maryland Property Insurance Availability Program, Essential Homeowners Insurance Inspection and Placement, is used to apply

for Homeowners Insurance through the Maryland Joint Insurance Association. This form is Page 1 of a two page application. To complete this

application properly, ACORD 66 MD, page two of the application, must also be submitted.

ACORD 65 MD (2013/10) rev. 09-30-2013

Page 1 of 1