ACORD 175: Commercial Policy Change Request
ACORD 175 is the Commercial Policy Change Request. It records requested additions, changes, or deletions for an identified commercial policy.
What it is
ACORD 175 is the Commercial Policy Change Request. It records requested additions, changes, or deletions for an identified commercial policy.
Use the client's exact instruction and the current policy. State the item, the before and requested after value, and the requested effective date. Finish the task by comparing the carrier's response or endorsement with what was requested.
When it's used
- The market accepts this form for a commercial policy change.
- A client asks to change a location, vehicle, limit, or interest.
- The team needs a clear record of the request and its final disposition.
Section-by-section walkthrough
Agency and policy identification
Your agency, the carrier, the policy number, and the named insured exactly as the policy reads.
Review check: Identify the exact policy.
Effective date of change
The effective date requested by the client for each change.
Review check: Separate the requested and accepted effective dates.
Requested changes
Each requested addition, change, or deletion, identifying the item, current detail, and requested result.
Review check: Describe each change with specific before and after details.
Additional interest changes
New, changed, or deleted mortgagees, lienholders, and loss payees, with full legal names, addresses, and loan numbers.
Review check: Verify interest names, addresses, and references.
Remarks
Context the boxes cannot hold: why the deletion, what triggered the change, anything the underwriter would otherwise ask.
Review check: Explain the client's instruction and relevant context.
Signatures
The signatures or authorization required by the carrier and agency process.
Review check: Collect the signatures required by the process.
In Relay
Relay can prepare supported ACORD drafts from the documents you provide. This reference guide explains ACORD 175; it is not a promise that this form or edition is available in your workspace. Check the supported form, then review the fields and missing answers before use. See how →
Common errors
- A requested change with no effective date.
- Combining several policies without clear separate identification.
- Treating a sent request as an issued endorsement.
Common questions
What makes a change request clear?
Identify the policy, item, action, current value, requested value, and requested date. Attach the supporting schedule or instruction when it helps distinguish the item.
Do we need this form if the carrier uses a portal?
Follow the accepted carrier process and your agency's documentation requirements. Keep the client's instruction and the carrier's final response traceable even when the change is entered online.
Related forms
Form references
- ACORD Forms Portal: current forms and authorized access
- ACORD-authored Forms Index, May 2024 (historical form names)
Confirm the form edition and requirements with the market receiving the submission.
Part of the Relay ACORD form library. Updated 2026-07-11. See how we source content.
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