FL Forms

FORM NUMBERDESCRIPTIONEDITION DATE
FL-1(R)Causes of Loss9/161/922/81
FL-2Causes of Loss9/161/9211/79
FL-2BCauses of Loss9/161/92
FL-3Causes of Loss9/001/9211/79
FL-3AFarm Schedule1/922/81
FL-3BCauses of Loss9/001/92
FL-5Condos/Shared Ownership Housing1/92
FL-6Coverage E and Coverage F1/928/80
FL-7Coverage E Unscheduled Farm Personal Property1/928/80
FL-10Auto Increase in Insurance1/9211/79
FL-11Installment Premium Payments1/9211/79
FL-12Earthquake1/9211/79
FL-13Workers Compensation – Certain Residence Employees4/85
FL-14Insurance by More Than One Company9/951/9211/79
FL-14LPInsurance by More Than One Company9/951/929/82
FL-15Increase Amount of Insurance on Certain Property1/9211/79
FL-16Incidental Business Activity Endorsement1/9211/79
FL-17Lead Coverage5/92
FL-18Intentional Act Exclusion6/96
FL-18AIntentional Act Exclusion11/13
FL-19Amended Limits of Liability4/94
FL-20Agreement1/9211/79
FL-21Suit Against Us Amendatory Endorsement5/10
FL-21-DISCDisclosure Notice – Suit Against Us Amendatory Endorsement11/10
FL-22Residence Held In Trust3/23
FL-25Residence Glass Endorsement1/92
FL-26Personal Theft1/92
FL-27Broad Form Personal Theft1/92
FL-28Broad Form Personal Burglary1/92
FL-29Burglary or Theft Deductible1/92
FL-30Amendatory Endorsement Principal Coverages5/921/9210/81
FL-33Functional Replacement Cost Provision2/99
FL-35Water Damage Exclusion -NYC1/924/83
FL-38Additional Interest6/18
FL-41Additional Insured1/9211/81
FL-41LAdditional Insured7/981/9210/83
FL-42Building Theft Coverage5/92
FL-44Additional Insureds9/07
FL-45Change Endorsement1/929/82
FL-45AChange Endorsement1/929/82
FL-45LPChange Endorsement1/929/82
FL-46Personal Injury Endorsement1/92
FL-46APersonal Injury Endorsement11/24
FL-48Related Private Structures1/9211/81
FL-48ARelated Private Structures-Specified1/921/82
FL-50Construction of Residences on Vacant Land7/87
FL-50AConstruction of Residences on Vacant Land1/92
FL-52Trampoline Exclusion9/98
FL-52ATrampoline Exclusion12/98
FL-55Replacement Cost Provision (Coverage C-Persona Property)9/18
FL-56Related Private Structures Exclusion Endorsement10/15
FL-59Lead Exclusion6/97
FL-59 DISCPolicyholder Disclosure Notice (Lead Exclusion)11/97
FL-64Safety Glazing Material Endorsement12/99
FL-65Glass – Lettering12/99
FL-66Glass – Large Plates12/99
FL-67Broken or Cracked Glass Endorsement12/99
FL-68Glass Deductible Endorsement12/99
FL-72Added Water Damages Coverage7/08
FL-72AAdded Water Damages Coverage5/13
FL-73Earth Movement Exclusion Clarification5/10
FL-80Redefinition of Insured7/96
FL-81Redefinition of Insured7/96
FL-83Amendment of Policy Conditions2/0212/97
FL-84New York Amendatory Endorsement10/86
FL-84ANew York Amendatory Endorsement4/94
FL-87Exclusion-Asbestos, Dioxin & PCB1/927/88
FL-94E-bike and E-scooter Exclusion8/24
FL-94-DISCE-bike and E-scooter Exclusion (Property and Liability)8/24
FL-95E-bike and E-scooter Coverage8/24
FL-95-DISCE-bike and E-scooter Exclusion (Property and Liability)8/24
FL-99Calendar Date Exclusion5/98
FL-119Incidental Coverages (Debris Removal)4/19
FL-122Birds, Vermin, Rodents, Insects, Raccoons, Skunks or Domestic Animals Exclusion9/13
FL-122-DISCPolicyholder Disclosure Notice9/13
FL-124Roof Surface Actual Cash Value Loss Settlement4/14
FL-124-DISCPolicyholder Disclosure Notice4/14
FL-130Landlord’s Contents3/02
FL-160Liability Coverage Exclusion6/86
FL-162Exclusion-Deviant Behavior6/86
FL-163Exclusion Saddle Animals1/926/89
FL-185Automatic Inflation Protection12/05
FL-200Short Duration Policy Endorsement10/95
FL-342Underground Utility Line Endorsement9/204/16
FL-342-DISCPolicyholder Disclosure Notice9/20
FL-345Mechanical, Electrical or Pressure Systems Breakdown12/00
FL-345Equipment Breakdown Enhancement Endorsement12/176/09
FL-346Reinstatement of Insurance3/02
FL-360Ordinance or Law9/17
FL-368Windstorm Wrap-Around12/93
FL-368SWrap-Around Schedule12/93
FL-369Windstorm Wrap-Around12/93
FL-369SWrap-Around Schedule12/93
FL-371Windstorm Deductible12/93
FL-372Windstorm Deductible12/93
FL-373Exclusion of Canine Related Injuries or Damages10/08
FL-373 DISCPolicyholder Disclosure Notice (for FL-373)12/08
FL-373ACanine Related Injuries or Damages Exclusion5/23
FL-373HHurricane Deductible11/06
FL-373H-DISC-DWGDisclosure Notice – Hurricane Deductible (For Use with Dwelling Policies)11/06
FL-373H-DISC-LPPDisclosure Notice – Hurricane Deductible (For Use with Landlords Policies)11/06
FL-375Siding and Roofing Matching9/18
FL-376Animal Exclusion5/23
FL-414Farm Pollution Liability1/87
FL-425NY Policy Conditions Amendatory Endorsement4/10
FL-426Cancellation & Renewal Provisions1/92
FL-CPLPersonal Liability Coverage1/924/861/85
FL-CPL-CCancellation Provisions7/85
FL-DISCDisclosure Notice1/92
FL-DISC-2Policyholder Disc Notice4/029/00
FL-FCPLPersonal Liability Coverage-Farm1/924/861/85
FL-OLTPremises Liability Coverage1/922/81
FL-OLT-CCancellation Provisions1/86
FL-OLT-FFarm Premises Liability Coverage1/927/84
FL-OLT-FEFarm Premises Liability Schedule1/927/84
LPP-1Policyholder Disclosure Notice5/92
LPP-2Policyholder Disclosure Notice7/94
URB-84New York Endorsement6/862/81