The Standard Fire Policy (with permission to substitute for the word, company, a more accurate descriptive term for the type of insurer) shall be in the following form:
Standard Fire Insurance Policy for New Hampshire
| No. | Type of Company |
| Renewal of Number | |
| |
| Space for Company Name, Insignia and Location |
Insured's Name and Mailing Address
| | Space for |
| | Producer's |
| | Name and |
| | Mailing |
| | Address |
| . | . | ........ |