Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 857 CA (2011/02)
California Earthquake Authority -
Application for Earthquake
Insurance
ACORD 857 CA, California Earthquake Authority - Application for
Earthquake Insurance, is used to apply for earthquake insurance through the California
Earthquake Authority. The first two pages of the form provide basic instructions for the
completion of this form. For further information, contact the California Earthquake
Authority.
ACORD 857 CA (2011/02) rev. 2-28-2011
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