Commercial insurance form reference

ACORD 139: Statement and Schedule of Values.

Direct answer. A structured schedule for property values by location or item. Markets may also request a spreadsheet statement of values with additional construction, occupancy, protection, and catastrophe fields.

Form numberACORD 139
Edition shown in index2015/12
Source reviewed2026-08-24
Information organized

Facts to prepare.

  • Location and building identifiers
  • Building and business personal property values
  • Business income values
  • Construction and occupancy
  • Deductible and valuation information
Quality control

Review before using the form.

  • Confirm values reconcile to the requested limits
  • Use one consistent location identifier across the packet
  • Add roof, protection, and catastrophe fields when requested
Edition and market boundary

The edition shown is the edition observed in the official index on the review date. Confirm the acceptable edition, jurisdiction, and related forms with the intended market. Hedge does not provide this ACORD file for download.

Related Hedge forms

Hedge-owned supplements that may add class detail.

These fillable Hedge resources can support preparation but do not replace a required ACORD or market-specific application.

Any risk

Hedge Schedule of Locations Supplement

A fillable Hedge schedule for presenting multiple premises and location-level exposure information.

View form and fillable PDF →
Sources

Verify against the publisher.

Official source

ACORD Forms Index

Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.

Open official source →
Official source

ACORD Forms Portal

Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.

Open official source →
Official source

ACORD Forms Search Tools

Use the official source to confirm form availability, edition, jurisdiction, licensing, and related-form information.

Open official source →
Next step

Assemble the account-specific packet.

Use the class submission guide to identify the underwriting facts and Hedge forms that may apply, then have Hedge confirm the intended market and route.