ACORD 80 Homeowners Application – Fillable PDF Form

ACORD 80


ACORD 80 is the standardized Homeowner Application used by insurance agents, brokers, and carriers across the United States to collect all information needed to underwrite and quote a personal residential insurance policy. Whether you are insuring a single-family home, a condo unit, a co-op, or a rental, the form is the universal intake document that kicks off the entire process.

Published by ACORD (Association for Cooperative Operations Research and Development), the form follows a consistent, nationally recognized structure. This means a completed application can be submitted to multiple carriers without reformatting — saving agents significant time when shopping coverage across markets and helping applicants get faster, more accurate quotes.

The current edition in use is ACORD 80 (2016/11) — a six-page document that covers everything from agency and carrier identification on page one through to fraud statements and signatures on page six. Every section has a specific underwriting purpose, and no page should be submitted in isolation.

What the Homeowner Application Covers

  • Dwelling (Coverage A)
  • Other Structures (Coverage B)
  • Personal Property (Coverage C)
  • Loss of Use (Coverage D)
  • Replacement Cost Options
  • Personal Liability (Coverage E)
  • Medical Payments (Coverage F)
  • Additional Premises Liability
  • Incidental Farming Liability
  • Watercraft Liability
  • Earthquake Coverage
  • Flood Coverage
  • Water Backup of Sewers & Drains
  • Identity Fraud Expense
  • Builders Risk / Course of Construction
  • Renovation Coverage
  • Residence Rented to Others
  • Home Office / Business on Premises

Loading Viewer…


The ACORD Homeowner Application is required any time a new residential policy is being written, or when significant changes to an existing policy are being made that require full underwriting review.

Common Situations Requiring This Form

First-time home purchase or buying a new property. A complete homeowner application is required to obtain a quote and bind coverage before closing day.

Timing: Start at least 2–3 weeks before closing to avoid last-minute delays.

Moving your homeowner policy to a different insurance company for better rates or improved coverage. The new carrier requires a fresh application even if you are currently insured elsewhere.

Timing: Begin 30–60 days before your current policy renewal date.

Significant changes to the insured property — major renovation, addition, pool installation, or change in occupancy — may require an updated application for proper re-underwriting.

Timing: Notify your agent as soon as changes are planned.

Purchasing a rental property or secondary residence. Each location requires its own homeowner application or an appropriate dwelling fire form, depending on occupancy type.

Timing: Before the property transfer closes.

Buying a condominium or co-op unit. The form accommodates both condo and co-op residence types in the underwriting section, with specific unit-owners endorsements available on page 3.

Timing: 2–3 weeks before closing date.

Some carriers request a refreshed application at renewal — especially for properties with significant prior losses, properties that have not been recently inspected, or policies that are being moved to a different rating tier.

Timing: 30–45 days before policy renewal.

Who Completes the ACORD 80 Application

  • Insurance Agent / Broker: The most common approach — the agent interviews the homeowner and completes the form based on the information gathered (reduces errors significantly)
  • Homeowner / Applicant: Some agencies provide a blank fillable form for the applicant to complete, which the agent then reviews and corrects before submission
  • Joint Completion: Agent and applicant work through the form together during an in-person or virtual meeting — especially useful for complex properties or applicants with prior losses

Completing the ACORD Homeowner Application accurately is the single most important step in getting a fast, correct quote. Errors here cause underwriting delays, coverage discrepancies, and — in the worst cases — claim denials. Follow these steps to get it right the first time.

Before opening the form PDF, collect everything you will need:

  • Property deed or purchase agreement (for address and legal ownership)
  • Current mortgage statement (for mortgagee name, address, and loan number)
  • Prior insurance declarations page (for prior carrier, policy number, and expiration date)
  • Recent renovation permits or receipts (for dates and costs of upgrades)
  • Replacement cost estimate from a carrier-approved tool (for Coverage A limit)

Fill in your agency information — name, code, subcode, contact person, phone, fax, and email. Select the transaction type: New, Renew, or Policy Change. Enter the policy effective date and, if a policy change, the time the change takes effect. Note the date you last inspected the property — carriers take this seriously for liability purposes.

Enter the applicant’s full legal name, mailing address, date of birth, marital status, and all contact details. If there is a co-applicant, complete the co-applicant block in full. Do not leave the Social Security number blank (except in California) — missing SSN fields frequently delay credit scoring and slow quote turnaround.

On the coverage table on page 1, enter the requested limits for Coverage A through F and confirm the deductible types and amounts. Clarify with the applicant whether replacement cost or actual cash value applies to personal property. For properties in coastal or hurricane zones, confirm whether a percentage deductible for Named Storm or Hurricane applies.

Fill in all construction and rating fields: year built, construction type, residence type, total living area, roof material and condition, electrical system details, heating type and last service date, and all protection devices. These fields drive the rating — incomplete entries force underwriters to make assumptions that may result in an inaccurate premium.

Answer the loss history question on page 2 honestly for the number of years requested (typically 3–5 years). For each loss, enter the date, type, amount paid, and whether it was disputed. Omitting losses — even minor ones that were not paid by insurance — is considered material misrepresentation and can void a policy at claim time.

Work through page 3 of the ACORD 80 form with the applicant deliberately, not quickly. Identify whether flood, earthquake, water backup, scheduled personal property, or any liability extension endorsements are appropriate. These decisions should be documented and discussed — not left blank by default.

Go through every yes/no question on pages 3 and 4 methodically. For each “Yes” answer, provide a clear, specific written explanation. Never answer “No” without verifying — applicants sometimes forget about animals, prior cancellations, or business activities on the premises. Research before signing.

Add all mortgagees, lienholders, and loss payees on page 5. Confirm exact name, address, and loan number with the lender directly. Attach ACORD 45 (Additional Interest Schedule) if more than two interests need to be listed.

Ensure the applicant reads and signs page 6 before any submission. The agent signs and provides their license number and NPN. If using an electronic ACORD 80 fillable form, confirm that the e-signature method complies with the carrier’s submission requirements. Do not submit incomplete or unsigned applications.


Is ACORD 80 the same as the ACORD Homeowner Application?

Yes. ACORD 80 is the official form number for the ACORD Homeowner Application. The terms are used interchangeably across the industry. The form number appears in the bottom-left corner of each page in the format “ACORD 80 (2016/11)” where the date in parentheses indicates the edition year and month.

Can I use the form PDF for an electronic submission?

Yes. Most carriers and wholesalers accept the completed form PDF as an electronic submission, either as an email attachment or uploaded through a portal. Many also support e-signatures via platforms like DocuSign, Adobe Sign, or their own agency management system integrations.

Does every state use this homeowner application?

Most U.S. states accept this as the standard homeowner application. However, some carriers in specific states use proprietary intake forms instead, and several fields have state-specific exceptions (California SSN restriction, Missouri question 2 exemption, etc.). Always confirm the carrier’s preferred submission format and any applicable state restrictions before completing the form.

Can I submit one application to multiple carriers?

Yes — and this is one of the primary benefits of the standardized ACORD forms. An agent can complete a single homeowner application and submit it to multiple carriers simultaneously to obtain competing quotes. Each carrier will apply their own rates and underwriting guidelines to the same set of information, giving the applicant a fair comparison across markets.

What if I make a mistake on the form after signing?

Notify your agent immediately. The agent should submit a corrected application to the carrier before coverage binds. If the error is discovered after binding, a policy endorsement or amended application may be required. Material misrepresentations discovered after a claim is filed can result in coverage denial — so correcting errors quickly is always the right course of action.

What happens after the application is submitted?

The carrier begins underwriting review. This typically includes ordering a property inspection, running a CLUE (Comprehensive Loss Underwriting Exchange) report to verify loss history, and processing a credit-based insurance score. If the risk is acceptable, the carrier issues a quote or binds coverage directly. Incomplete or inconsistent applications will generate underwriting questions that must be resolved before binding.