HOMEOWNERS DECLARATIONS PAGE

(March 2022)

Generally, insurers develop their own Homeowners Declarations to meet their specific needs and to conform with applicable state law. ISO provides advisory form HO DS 01, Homeowners Policy Declarations. A company wishing to use this form would have to make an independent filing. The form includes space for:

· The name and address of the insurer

· Policy number

· Agency's name and mailing address

· Name of the insured

· Mailing address of the insured

· Location of the residence if it is NOT the mailing address

Spaces are also available to enter the policy period (starts and ends at 12:01 AM at the residence premises) to enter the number of policy years.

The next portion of the declarations includes a statement that the insurer will provide insurance protection as presented in the applicable policy in exchange for complying with policy terms and premium payment.

The next section lists the policy’s coverages so that limits can be entered. These limits are referred to often in the policy form. The basis premium, additional charges and final total premium is shown in this area.

Additional space on the form is reserved for:

· List of the forms and endorsements that apply to the homeowners policy or coverage section. Typically includes both mandatory and optional forms, including edition dates

· Section one deductible and other applicable deductibles

· Location addresses of any additional premises the insured owns, rents, or occupies

Any mortgagee(s) or other loss payees that may apply, including their mailing address. Notice of cancellation or nonrenewal must be mailed to these entities at the same time it is mailed to the insured.