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FL Forms List
Form # Description Edition Dates
FL-1(R) Causes of Loss 1/92
FL-2 Causes of Loss 11/79
FL-2B Causes of Loss 1/92 FL-3 Causes of Loss 11/79 FL-3A Farm Schedule FL-3B Causes of Loss FL-5 Condos/Shared Ownership Housing FL-6 Coverage E and Coverage F FL-7 Coverage E Unscheduled Farm Personal Prop. FL-10 Auto Increase in Insurance FL-11 Installment Premium Payments FL-12 Earthquake FL-13 Work. Comp. - Certain Res. Emp. FL-14 Ins. by More Than One Company 11/79 FL-14LP Ins. by More Than One Company 9/82 FL-15 Incr. Amount of Ins. on Certain Prop. FL-16 Incidental Business Activity End. FL-17 Lead Coverage FL-18 Intentional Act Exclusion FL-18A Intentional Act Exclusion 11/13 FL-19 Amended Limits of Liability FL-20 Agreement FL-21 Suit Against Us Amendatory End. FL-21-DISC Disclosure Notice - Suit Against Us Amendatory End. FL-22 Residence Held In Trust FL-25 Residence Glass End. FL-26 Personal Theft FL-27 Broad Form Personal Theft FL-28 Broad Form Personal Burglary FL-29 Burglary or Theft Deductible FL-30 Amendatory Endorsement Principal Coverages 10/81 FL-33 Functional Replacement Cost Provision FL-35 Water Damage Exclusion -NYC FL-38 Additional Interest 6/18 FL-41 Additional Insured FL-41L Additional Insured 10/83 FL-42 Building Theft Coverage FL-44 Additional Insureds FL-45 Change Endorsement FL-45A Change Endorsement FL-45LP Change Endorsement FL-46 Personal Injury Endorsement FL-48 Related Private Structures FL-48A Related Private Structures-Specified FL-50 Const. of Res. on Vacant Land FL-50A Const. of Res. on Vacant Land FL-52 Trampoline Exclusion FL-52A Trampoline Exclusion FL-55 Replacement Cost Provision (Coverage C-Persona Property) 9/18 FL-56 Related Private Structures Exclusion Endorsement FL-59 Lead Exclusion FL-59 DISC Policyholder Disc. Notice (Lead Exclusion) 11/97 FL-64 Safety Glazing Material End. FL-65 Glass - Lettering FL-66 Glass - Large Plates FL-67 Broken or Cracked Glass End. FL-68 Glass Deductible Endorsement FL-72 Added Water Damages Coverage 77/08
FL-72A Added Water Damages Coverage 75/13
FL-73 Earth Movement Exclusion Clarification 75/10
FL-80 Redefinition of Insured FL-81 Redefinition of Insured FL-83 Amendment of Policy Conditions 2/02 12/97 FL-84 New York Amendatory End. FL-84A New York Amendatory End. FL-87 Exclusion-Asbestos, Dioxin & PCB FL-99 Calendar Date Exclusion FL-119 Incidental Coverages (Debris Removal) 4/19 FL-122 Birds, Vermin, Rodents, Insects, Raccoons, Skunks or Domestic Animals Exclusion 9/13 FL-122-DISC Policyholder Disclosure Notice 9/13 FL-124 Roof Surface Actual Cash Value Loss Settlement 4/14 FL-124-DISC Policyholder Disclosure Notice 4/14 FL-130 Landlord's Contents 3/02 FL-160 Liability Coverage Exclusion FL-162 Exclusion-Deviant Behavior FL-163 Exclusion Saddle Animals FL-185 Automatic Inflation Protection FL-200 Short Duration Policy End. FL-342 Underground Utility Line Endorsement 99/20
FL-342-DISC Policyholder Disclosure Notice 99/20 FL-345 Mech., Elec. or Pressure Sys Breakdown FL-345 Equipment Breakdown Enhancement Endorsement FL-346 Reinstatement of Insurance FL-360 Ordinance or Law 9/17 FL-368 Windstorm Wrap-Around FL-368S Wrap-Around Schedule FL-369 Windstorm Wrap-Around FL-369S Wrap-Around Schedule FL-371 Windstorm Deductible FL-372 Windstorm Deductible FL-373 Exclusion of Canine Related Injuries or Damages FL-373 DISC Policyholder Disclosure Notice (for FL-373) FL-373A Canine Related Injuries or Damages Exclusion 5/23 FL-373H Hurricane Deductible 11/06 FL-373H-DISC-DWG Disclosure Notice - Hurricane Deductible
For Use with Dwelling PoliciesFL-373H-DISC-LPP Disclosure Notice - Hurricane Deductible
For Use with Dwelling PoliciesFL-375 Siding and Roofing Matching 9/18 FL-376 Animal Exclusion 5/23 FL-414 Farm Pollution Liability FL-425 NY Policy Conditions Amendatory End. FL-426 Cancellation & Renewal Provisions FL-CPL Personal Liability Coverage 1/85 FL-CPL-C Cancellation Provisions
FL-DISC Disclosure Notice FL-DISC-2 Policyholder Disc Notice 4/02 9/00 FL-FCPL Personal Liability Coverage-Farm 1/85 FL-OLT Premises Liability Coverage FL-OLT-C Cancellation Provisions FL-OLT-F Farm Premises Liability Coverage FL-OLT-FE Farm Premises Liability Schedule LPP-1 Policyholder Disclosure Notice LPP-2 Policyholder Disclosure Notice URB-84 New York Endorsement 7
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