ACORD 36 (2007/01) - Agent/Broker of Record Change

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The ACORD 36 (2007/01) is the Agent/Broker of Record Change form, used to officially request a change in the agent or broker assigned to a specific insurance policy. This form is typically completed by the policyholder to notify the insurer of the desire to transfer the responsibility for managing their policy to a new agent or broker. It includes sections for providing the policyholder's details, information about the current and new agent/broker, and the effective date of the requested change. By submitting this form, the policyholder ensures that the insurer updates their records, allowing the new agent or broker to handle the policy, including renewals, endorsements, and claims processing.

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