ACORD 67 RI (2007/03)

Section Name
Field Name
Field and/or Section Description
ACORD 67 RI (2007/03)
Inspection Notice, Credit
Reporting Notice and Instructions
for Completing Dwelling Fire and
Personal Liability Application
This form contains required disclosure notices and instructions for the completion of
ACORD 66 RI, Application for Dwelling Fire and Personal Liability Insurance Inspection
and Placement, with the Rhode Island Joint Reinsurance Association. ACORD 67 RI
must be used with ACORD 66 RI.
ACORD 67 RI (2007/03)
1 of 1