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ACORD
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ACORD 35 Cancellation Request / Policy Release

Standard ACORD cancellation instrument. Requests mid-term cancellation of an in-force policy or binder, or releases the carrier from liability when the policy is lost, destroyed, or retained. Requires the named insured's signature. Transactional service form used at cancellation time; not an underwriting supplement.

Form number
Form ACORD 35
Edition
Edition ACORD 0035 2017-05 Acroform
Fields
102 fields
Pages
1 page

What this form asks for

Examples from the PDF's 102 fields. Bindly uses the full field map to ask only the questions that apply.

  • Form Edition Identifier
  • Form Completion Date
  • Producer Full Name
  • Producer Mailing Address Line One
  • Producer Mailing Address Line Two
  • Producer Mailing Address City Name
  • Producer Mailing Address State Or Province Code
  • Producer Mailing Address Postal Code
  • Producer Contact Person Phone Number
  • Insurer Producer Identifier
  • Insurer Sub Producer Identifier
  • Producer Customer Identifier

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ACORD 35 Cancellation Request / Policy Release

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Frequently asked questions

What is the ACORD 35 Cancellation Request / Policy Release?
Standard ACORD cancellation instrument. Requests mid-term cancellation of an in-force policy or binder, or releases the carrier from liability when the policy is lost, destroyed, or retained. Requires the named insured's signature. Transactional service form used at cancellation time; not an underwriting supplement. It is part of Bindly's library of 3,000+ insurance forms.
Where can I download the ACORD 35 Cancellation Request / Policy Release?
You can preview and download the blank ACORD 35 Cancellation Request / Policy Release PDF for free on Bindly's form library, or have Bindly fill it for you automatically. No login is required to preview or download.
How do I fill out the ACORD 35 Cancellation Request / Policy Release?
Bindly interviews the insured in one plain-language conversation and automatically fills every field on the ACORD 35 Cancellation Request / Policy Release, ready for broker review and e-signature. No manual rekeying, and no logins or downloads for the insured.
What information does the ACORD 35 Cancellation Request / Policy Release ask for?
The ACORD 35 Cancellation Request / Policy Release includes fields for Form Edition Identifier, Form Completion Date, Producer Full Name, Producer Mailing Address Line One, Producer Mailing Address Line Two, and Producer Mailing Address City Name. These are examples from the PDF; the exact questions that apply depend on the risk and coverage requested.
How many fields does the ACORD 35 Cancellation Request / Policy Release have?
The ACORD 35 Cancellation Request / Policy Release has 102 fillable fields across 1 page. Bindly captures them all from a single conversation with the insured.