Homeowners Policy Forms

Select the forms indicated on your policy by clicking the checkbox to the left of the the form. Use the "All" checkbox at the top left of the group to select all forms in the group.  If you cannot find a form you need, please check the Retired Forms.

Standard Homeowner Policy Forms

AllPagesFormDescription  
1 IL POOL 01 04 US Treasury...Policyholders       Mandatory
22 HO 00 03 10 00 Homeowners 3 Special Form       Mandatory
19 HO 00 04 10 00 Homeowners 4 Contents Broad Form       Mandatory
1 HO 01 01 05 01 Special Provisions - Alabama       Mandatory
1 HO 01 39 09 01 Special Provisions - South Carolina       Mandatory
6 HO 01 45 04 99 Special Provisions - Virginia       Mandatory
2 HO 01 47 11 02 Special Provisions - West Virginia       Mandatory
1 HO 04 12 10 00 Increased Limits on Business Property       Optional
2 HO 04 14 10 00 Special Computer Coverage       Optional
1 HO 04 16 10 00 Premises Alarm or Fire Protection System       Mandatory
1 HO 04 21 05 02 Windstorm Protective Device       Mandatory
1 HO 04 35 10 00 Loss Assessment Coverage       Optional
1 HO 04 40 10 00 Structures Rented to Others       Optional
1 HO 04 41 10 00 Additional Insured - Residence Premises       Mandatory
1 HO 04 46 10 00 Inflation Guard       Optional
1 HO 04 54 10 00 Coverage A & C - Earthquake Coverage       Optional
1 HO 04 55 03 03 Coverage C - Identity Fraud Expense Coverage       Optional
1 HO 04 58 10 00 Other Member of Your Household       Optional
3 HO 04 61 04 91 Coverage C - Scheduled Personal Property       Optional
1 HO 04 65 04 91 Coverage C - Increased Special Limits Of Liability       Optional
1 HO 04 77 10 00 Ordinance of Law Increased Amount of Coverage       Optional
1 HO 04 86 09 93 Windstorm Exterior Paint       Mandatory
1 HO 04 90 10 00 Coverage C - Personal Property Replacement Cost       Optional
1 HO 04 94 10 00 Windstorm or Hail Exclusion       Mandatory
1 HO 04 96 10 00 Home Day Care Exclusion       Mandatory
2 HO 05 31 10 00 Modified Funcional Replacement Cost Loss Settlement       Optional
2 HO 05 43 10 00 Residence Held In Trust       Optional
1 HO 05 62 04 01 Ordinance or Law Coverage       Mandatory
6 HO 05 80 10 00 Remediation, Limited Lead & Excaped Liquid Fuel Liability Coverages       Mandatory
1 HO 05 81 10 00 Property Remediation, Limited Lead & Excaped Liquid Fuel Liability Coverages       Mandatory
1 HO 05 82 10 00 Property Remediation, Limited Lead & Excaped Liquid Fuel Liability Coverages       Mandatory
14 HO 07 01 10 00 Home Business Insurance Coverage       Optional
1 HO 07 58 10 00 Section I & II for Computer Related..       Mandatory
1 HO 17 33 01 01 Dwelling Rented To Others       Mandatory
1 HO 23 37 04 91 Home Day Care Exclusion - Virginia       Mandatory
1 HO 24 75 10 00 Watercraft       Optional
3 HO 24 82 04 02 Personal Injury Coverage       Optional
6 HO 32 32 04 03 Special Provisions - North Carolina       Mandatory

Lexington Policy Forms

AllPagesFormDescription  
1 LAN 00 04 10 04 Landmark Insurance Company Standard Policy...       Mandatory
1 LEX 00 01 11 04 Animal Exclusion       Optional
1 LEX 00 02 11 04 Coverage E & F - Swimming Pool Limitation       Optional
1 LEX 00 03 08 97 Lexington Permission for Excess Insurance       Optional
1 LEX 00 04 11 04 Lexington Standard Policy Conditions       Mandatory
1 LEX 00 04 08 04 Standard Policy Provisions       Mandatory
1 LEX 00 05 01 01 Owned Aircraft Property Damage Exclusion       Optional
1 LEX 00 07 11 04 Theft of Building Materials Coverage       Optional
2 LEX 00 08 11 04 Builder's Risk Liability Coverage       Optional
1 LEX 00 14 12 04 Important Flood Insurance Notice       Mandatory
1 LEX 00 14 08 04 Primary Flood Notice       Mandatory
1 LEX 00 15 11 04 Builder's Risk Extended Coverage       Optional
1 LEX 00 25 04 02 Mold Exclusion       Mandatory
1 LEX 00 26 03 03 Terrorism Exclusion       Mandatory
1 LEX 00 27 12 01 Builder's Risk Special Provisions       Optional
1 LEX 00 28 02 02 Limited Animal Coverage       Optional
1 LEX 00 30 05 03 Exterior Insulation and Finish System Exclusion       Mandatory
1 LEX 00 31 11 04 Coverage E & F - Trampoline Exclusion       Optional
1 LEX 00 32 08 04 Leakage of Pollutants..       Optional
1 LEX 00 33 11 04 Settling, Cracking, Bulging       Optional
1 LEX 00 40 11 04 Lexington - Standard Policy Condition Illinois       Mandatory
1 LEX 00 72 05 05 Swimming Pool Liability Exclusion       Optional
2 LEX 01 03 11 04 Premises Only Coverage       Mandatory
4 LEX 01 09 11 04 Special Provisions       Mandatory
1 LEX 02 09 08 00 Personal Injury Coverage       Optional
2 LEX 02 10 07 01 Part II - Personal Umbrella       Optional
1 LEX 02 13 08 00 Incidental Business Coverage       Optional
3 LEX 02 15 01 01 Coverage Part II - Special Provisions       Optional
11 LEX 2A 00 01 01 Personal Umbrella Coverage Part 2A       Optional
11 LEX 2B 00 01 01 Personal Excess Liability Coverage Part 2B       Optional
5 LEX 03 00 01 01 Coverage A & C - Excess Flood       Optional
1 LEX 03 12 01 05 Named Storm Percentage Deductible       Optional
1 LEX 03 14 01 05 Windstorm or Hail Percentage Deductible       Mandatory
1 LEX 03 16 11 04 Named Windstorm or Hail Percentage Deductible       Mandatory
1 LEX 03 24 01 01 Identity Fraud Expense Coverage       Optional
3 LEX 04 33 11 04 Limited Mold Related Coverage       Mandatory
1 LEX 04 41 03 04 Coverage E & F - Corporately Owned       Optional
1 LEX 04 58 08 04 Sections I and II - Other Members       Optional
1 LEX 04 65 11 04 Coverage C - Increased Special Limits of Liability       Optional
1 LEX 04 95 11 04 Coverage A & C - Water Back Up       Optional
1 LEX 05 03 11 04 Coverage A - Specified Additional Amount       Optional
2 LEX 05 28 11 04 Golf Cart Coverage       Optional
3 LEX 05 32 11 04 Earthquake       Optional
2 LEX 05 43 01 01 Residence Held in Trust       Optional
3 LEX 05 80 11 04 Advisory Notice to Policyholders-Explanatory Memo       Included
1 LEX 08 03 08 00 Motorist Coverage       Mandatory
1 LEX 08 12 07 98 Personal Umbrella Policy       Mandatory
1 LEX 10 01 01 99 Excess Flood       Mandatory
3 LEX 15 31 11 04 Coverage C - Special Personal Property       Optional
1 LEX 17 33 11 04 Dwelling Rented to Others       Optional
1 LEX 24 70 08 04 Additional Residence (If Liability Exteded)       Mandatory
1 LEX 23 34 09 01 Deluxe Earthquake       Optional
1 LEX 23 62 11 04 Builder's Risk Valuation Clause       Mandatory
1 LEX 42 01 11 04 Roof Exclusion       Optional
1 LEX 42 03 08 99 ACV Roof Coverage Endorsement       Optional
1 LEX 42 03 11 04 Cosmetic Damage to Roofs Exclusion       Optional
2 LEX 42 05 11 04 Loss Settlement Provision for Roofs       Optional
1 LEX 00 73 05 05 Family Security Endorsement       Optional
1 LEX 00 63 04 05 Mechanical Breakdown Coeverage       Optional
1 Lexington Privacy Policy       Mandatory
5 LEX 04 00 01 01 Scheduled Personal Property       Mandatory
3 LEX 07 01 09 06 Personal Article Floater       Mandatory
3 LEX 08 22 09 06 Personal Umbrella/Excess Liability - Special Provisions       Mandatory

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