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ACORD 50 CA Instructions

 

 
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 11/21/2008.
Section Name Field Name Field and/or Section Description
TITLE ACORD 50 CA (2004/07) California Insurance Identification Card The title of the form. ACORD 50 CA, California Insurance Identification Card, is used as proof of automobile insurance. Use ACORD 50 CA to provide proof of insurance when requested by law enforcement, and to provide insurance information in case of an accident.
INSURANCE IDENTIFICATION CARD Company Number One Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE IDENTIFICATION CARD Company Name One Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name.
INSURANCE IDENTIFICATION CARD Enter text: The first line of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Enter text: The second line of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Enter text: The city of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Enter code: The state or province of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Enter code: The postal code of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Policy Number One Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number.
INSURANCE IDENTIFICATION CARD Effective Date One Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence.
INSURANCE IDENTIFICATION CARD Expiration Date One Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE IDENTIFICATION CARD Year Enter year: The model year of the vehicle.
INSURANCE IDENTIFICATION CARD Make/Model Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD Enter text: The manufacturer's model name for the vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Enter identifier: The vehicle identification number (VIN).

ACORD 50 CA (2004/07) 1 of 2 ACORD 50 CA (2004/07) 2 of 2

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Agency/Company Issuing Card Enter text: The full name of the producer/agency.
INSURANCE IDENTIFICATION CARD Enter text: The mailing address line one of the producer/agency.
INSURANCE IDENTIFICATION CARD Enter text: The mailing address line two of the producer/agency.
INSURANCE IDENTIFICATION CARD Enter text: The mailing address city name of the producer/agency.
INSURANCE IDENTIFICATION CARD Enter code: The mailing address state or province code of the producer/agency.
INSURANCE IDENTIFICATION CARD Enter code: The mailing address postal code of the producer/agency.
INSURANCE IDENTIFICATION CARD Insured Name and Address Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE IDENTIFICATION CARD Enter text: The named insured's mailing address line one.
INSURANCE IDENTIFICATION CARD Enter text: The named insured's mailing address line two.
INSURANCE IDENTIFICATION CARD Enter text: The named insured's mailing address city name.
INSURANCE IDENTIFICATION CARD Enter code: The named insured's mailing address state or province code.
INSURANCE IDENTIFICATION CARD Enter code: The named insured's mailing address postal code.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).