ACORD 66 CT (2015/02) - Connecticut Fair Plan

ACORD 66 CT (2015/02) - Connecticut Fair Plan
ACORD 66 CT, Connecticut FAIR Plan Application for Basic Property & Liability Insurance, is used when applying for property and liability
insurance through the Connecticut FAIR Plan. Consult the FAIR Plan for instructions on the completion of this form.
ACORD 66 CT (2015/02) rev. 01-30-2015
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