What it does
IL 12 01 is the blank change form insurers use to document a mid-term change that is not done by a specific endorsement. It carries the policy number, effective date of the change, company, named insured, coverage parts affected, a free-text description of the changes, any additional or return premium, and the authorized representative's signature.
Typical uses
- Changing the named insured's name or mailing address.
- Adding or deleting locations, vehicles or classifications when no specific form is needed.
- Amending limits, deductibles or rating information.
- Recording premium adjustments.
Under the Common Policy Conditions (IL 00 17), the policy's terms can be amended or waived only by an endorsement the insurer issues, so changes must be documented on a form like this one.
Quoting and selling notes
- Because the wording is free text, read every policy change form carefully. It can broaden or restrict coverage in ways that are easy to miss.
- Ask for the actual endorsement when a client requests a change. A binder or email confirmation does not replace the issued change.
