Get Attachment A17 California Earthquake Authority Basic Earthquake Policy Common Interest Development

Filling out the Attachment A17 form is essential for obtaining earthquake insurance coverage through the California Earthquake Authority. This guide provides a step-by-step approach to completing the form online, ensuring you understand each section and can submit your application with confidence.

Follow the steps to successfully fill out the form.

1. Click ‘Get Form’ button to access the necessary document and open it in your online editor.
2. Locate the POLICY NUMBER and POLICY PERIOD sections. Enter the specific policy details requested, including the effective date of coverage.
3. In the NAMED INSURED AND MAILING ADDRESS section, fill in the full name of the insured party or organization and the corresponding mailing address.
4. Specify the address of the dwelling unit covered by this policy, unless otherwise indicated in your provided details.
5. Navigate to the COVERAGE sections. Carefully enter the LIMIT OF INSURANCE for each coverage type (A, C, D, and E) the policy will include, ensuring all amounts comply with your needs.
6. Check the TOTAL ANNUAL POLICY PREMIUM section, and ensure it is correct based on your coverage selection.
7. Review the POLICY MODIFICATIONS REQUESTED BY YOU section to include any specific adjustments or endorsements you desire, such as deletion of exclusions.
8. Include information regarding the MORTGAGEE/LIENHOLDER if applicable, in the NAME AND ADDRESS field.
9. Once all fields are filled in correctly, review the entire form for accuracy. You can then save your changes, download, print, or share the completed form.

Complete your application for the California Earthquake Authority Basic Earthquake Policy through the online form to ensure your property is protected.