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ACORD 131Statement of No Loss

Last updated: 2026-04-09

What is ACORD 131?

The ACORD 131 is a signed statement from the insured confirming that no claims or losses have occurred during a specified period. Carriers typically require this form when binding coverage retroactively or when there is a gap between the prior policy expiration and the new policy inception.

The form protects the carrier from adverse selection — an insured cannot wait until a loss occurs and then try to bind coverage retroactively to cover that loss.

When do brokers use ACORD 131?

Required by carriers when there is any lapse in coverage, when coverage is bound retroactively, or at renewal when the carrier wants confirmation that no unreported losses exist from the expiring term.

Key fields explained

Insured Name

The named insured making the statement.

Period

The specific date range being certified as loss-free.

Coverage Lines

Which coverage lines the statement applies to.

Signature

Must be signed by an authorized representative of the insured.

Common mistakes to avoid

Getting the date range wrong — must cover the exact gap period

Having the wrong person sign (must be authorized representative of the insured)

Not obtaining the statement before binding, creating a compliance gap

Related ACORD forms

Download the official form

Official ACORD forms are available from ACORD.org. This page explains how to complete the form — visit ACORD for the actual document.

Visit ACORD.org

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