The ACORD 37 is a signed statement from the insured that no losses, claims, or incidents happened during a period without coverage. Carriers usually ask for this no loss confirmation before a policy reinstatement after lapse, such as a non-payment cancellation, so they do not end up insuring a loss that already happened. If the insured signs it and a loss did occur, the carrier may deny the claim or rescind the policy.
For insurance professionals, the form is short, but the stakes are not. An incorrect date, a missing signature, or an insured who doesn't understand what they are signing can delay underwriting approval or create errors-and-omissions exposure for the agency. In this guide, we'll walk you step by step through accurately completing the form, provide advice on common pitfalls, and show how Total CSR's software can also help accelerate your team’s operations and processes moving forward.
What Is a Statement of No Loss?
It is a written warranty statement in which the named insured confirms there have been no losses, accidents, or occurrences that could lead to a claim since a specific date. The ACORD 37 statement of no loss is the standard version of that document. Some carriers call it a no-known-loss letter or an insurance no-loss declaration and use their own wording.
The form is not a proof of loss. That claim document is filed after a claim to document the loss amount, while the statement of no loss confirms the opposite: nothing happened. Carriers use it to limit adverse selection, the risk that someone buys or restores coverage only after a loss occurs.
When Carriers Ask for an ACORD 37 Form
The most common trigger is a policy cancellation for non-payment. If the insured pays after the policy is canceled, many carriers will consider a policy reinstatement only with a signed statement of no loss covering the coverage gap. Other common situations include:
- A policy renewal processed after the renewal date, leaving a lapse in coverage between the expiration date and the new term.
- New business bound to start earlier than the day the carrier receives the request.
- A binder extension or a binder expiration, when temporary coverage under a binder of insurance ran out before the policy was issued.
- After a binding moratorium for a storm or other natural disasters, when the carrier wants confirmation of no storm-related losses before policy issuance.
Rules vary by insurance carrier and state, and some surplus placements use the carrier's own no-loss letter instead of the ACORD version. Even an agent with binding authority usually cannot reinstate a canceled policy alone. Check the carrier guidelines before you send the form to the client.
How to Fill Out the ACORD 37 No Loss Statement
Agency, Carrier, and Policy Details
Enter the agency name, producer, and agency customer ID, then the insurance company and its NAIC code. Add the policy number; the standard form has no line of business or policy term field, so add those (for example, property insurance, commercial auto, or general liability insurance) only if your carrier's version asks for them. Copy these from your agency management system or the declarations page so every detail matches the carrier's records.
The Gap Period and Dates
Enter the cancellation date as the start of the lapse; the statement then covers the period up to the date and time the insured signs the form, not up to the reinstatement effective date. Include times if the carrier asks for them, since many policies begin at 12:01 a.m. on the effective date. If a grace period applies, confirm with the carrier which date the statement of no loss must start from.
The No Loss Statement and Signature
The insured confirms that no losses or claims, such as bodily injury, property damage, or liability coverage claims, have occurred during the stated period, and that they know of no circumstances that could lead to one. The insured or an authorized officer signs and dates it. Many carriers accept an electronic signature with an audit trail. Some still require a witness signature or producer certification.
Mistakes That Create E&O Risk
The biggest risk is an insured who signs without reading. Explain in plain language that the statement of no loss form is a sworn representation, and that signing it after a known loss can be treated as material misrepresentation or insurance fraud. That can lead to policy rescission, claim disputes, and agent liability if the file shows the agency pushed the client to sign. A pattern of backdated or pressured statements can also cost an agency its place in a carrier portfolio and, in serious cases, lead to compliance violations and regulatory action.
Other mistakes are administrative: ambiguous dates, an unsigned form, the wrong policy or NAIC code, or a no-loss form sent after the carrier's reinstatement window has closed. Each one causes underwriting delays or another underwriting review.
Hypothetical example. A contractor's liability policy is canceled for non-payment, and the payment arrives five days later. The carrier will reinstate if it receives a signed ACORD no-loss letter within ten days. The account manager confirms the dates with the carrier, explains the form to the owner, and asks directly whether anything happened on any job site during those five days. The owner signs, the form goes in with the payment history, and the policy is reinstated with no coverage gap on the carrier's records.
Your next step: add the statement of no loss fillable form and a short client script to your reinstatement checklist, and store every signed copy with the account. That protects client retention and limits E&O liability across your book of business.
See How Total CSR Can Help Boost Your Team’s Insurance Knowledge
If questions about forms like the ACORD 37 come up often in your insurance agency, you're not alone. From helping new hires get up to speed to making sure your team knows how to handle real client scenarios, having a strong foundation in the basics is key.
That’s where Total CSR can help. We provide straightforward, practical training that cuts your training time by up to 95% and empowers new hires with the practical skills they need—from ACORD forms to policy renewals and client communication.
If you're looking for a better way to train your insurance agency new hires and build consistency across your agency, check out what Total CSR has to offer. Book a customized demo with our team today for more information.
ACORD 37 Statement of No Loss Fillable & Downloadable Form:
Explore Our Other Guides to Filling Out ACORD Forms:
ACORD 25 - Certificate of Liability
ACORD 27 - Certificate of Insurance
ACORD 36 - Agent of Record Forms
ACORD 127 - Commercial Auto Insurance
ACORD 140 - Commercial Property
Frequently Asked Questions
Who signs the ACORD 37?
The insured signs it, or for a business, an owner or officer with authority to bind the company. The producer may also sign a certification section if the carrier requires it. An independent agent should never sign on the insured's behalf, because the statement must come from the person who knows whether a loss happened.
What if a loss happened during the lapse?
Do not have the insured sign the statement of no loss. Tell the carrier about the loss and ask how it handles reinstatement. The carrier may decline to reinstate, reinstate with a later date, or write new coverage that excludes the loss. Signing a statement of no loss after a known loss can void coverage and expose the insured to fraud allegations.
Is a statement of no loss required for every policy reinstatement?
No. Requirements vary by carrier, state, and line of business. Some carriers reinstate within a short window without it, while others require it for any coverage lapse. Always check the carrier's current guidelines before telling a client what is needed.
How long is a statement of no loss form valid?
It is usually valid only for the dates it covers and the request it supports. If the carrier receives it days later, or the reinstatement date changes, the carrier may ask for a new form that covers the full period. Send it promptly with the payment and keep a dated copy.
Where can I get the ACORD 37?
Most agencies access ACORD forms through their management system or a forms subscription, which fills in policy verification details from the client record. Some carriers provide their own statement of no loss instead. Use the current edition and keep the signed copy with your insurance policy documentation.
