ACORD 50 HI (2008/01) 1 of 9
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Universal wording updates to improve clarity and intent were made to all FIG text for this form on 11/21/2008. |
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Section Name |
Field Name |
Field and/or Section Description |
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TITLE ACORD 50 HI (2008/01) |
HAWAII MOTOR VEHICLE INSURANCE IDENTIFICATION CARD |
The title of the form. ACORD 50 HI, Hawaii Vehicle Insurance Identification Card, is used as proof of automobile insurance. The Hawaii Automobile Insurance Identification Card was created in response to Hawaii regulations. The main differences between the generic ACORD Automobile Insurance Card, ACORD 50, and the Hawaii card are: * The size of the card is 3 1/2 inches wide by 2 1/4 inches high (wallet size) * A statement is added to the front of the card referencing an authorized Hawaii insurer who issued an insurance policy which complies with Hawaii’s motor vehicle insurance law * The order of entries on the front of the card is prescribed by regulation * The card is printed on watermarked paper. The watermark is the word "ACORD." IMPORTANT: The watermark cannot be reproduced when ACORD 50 HI is downloaded from this website. Paper copies of ACORD 50 HI that include the watermark can be ordered from ACORD Member Services at 800-444-3341 or by sending us an e-mail to memberservices@acord.org. As an alternative, plain paper that includes the watermark (ACORD 360 WM and 370 WM) can also be ordered. This watermarked paper can be used |
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INSURANCE IDENTIFICATION CARD |
Commercial (checkbox) One |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Personal (checkbox) One |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number One |
Enter code: The identification code assigned to the insurer by the NAIC. |
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INSURANCE IDENTIFICATION CARD |
Company 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. |
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INSURANCE IDENTIFICATION CARD |
Insured Name and Address One |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 2 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
One |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year One |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make One |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model One |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # One |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number One |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date One |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date One |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE |
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IDENTIFICATION CARD |
Commercial (checkbox) Two |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Personal (checkbox) Two |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Company Number Two |
Enter code: The identification code assigned to the insurer by the NAIC. |
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Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. |
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INSURANCE |
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Use the actual name of the company within the group to which the policy has been issued. |
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IDENTIFICATION CARD |
Company Two |
This is not the insurer's group name or trade name. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured Name and Address Two |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 3 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
Two |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year Two |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make Two |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model Two |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # Two |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number Two |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date Two |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date Two |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE |
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IDENTIFICATION CARD |
Commercial (checkbox) Three |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Personal (checkbox) Three |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Company Number Three |
Enter code: The identification code assigned to the insurer by the NAIC. |
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Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. |
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INSURANCE |
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Use the actual name of the company within the group to which the policy has been issued. |
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IDENTIFICATION CARD |
Company Three |
This is not the insurer's group name or trade name. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured Name and Address Three |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 4 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
Three |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year Three |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make Three |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model Three |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # Three |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number Three |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date Three |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date Three |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE |
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IDENTIFICATION CARD |
Commercial (checkbox) Four |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Personal (checkbox) Four |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Company Number Four |
Enter code: The identification code assigned to the insurer by the NAIC. |
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Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. |
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INSURANCE |
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Use the actual name of the company within the group to which the policy has been issued. |
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IDENTIFICATION CARD |
Company Four |
This is not the insurer's group name or trade name. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured Name and Address Four |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 5 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
Four |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year Four |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make Four |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model Four |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # Four |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number Four |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date Four |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date Four |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE |
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IDENTIFICATION CARD |
Commercial (checkbox) Five |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Personal (checkbox) Five |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Company Number Five |
Enter code: The identification code assigned to the insurer by the NAIC. |
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Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. |
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INSURANCE |
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Use the actual name of the company within the group to which the policy has been issued. |
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IDENTIFICATION CARD |
Company Five |
This is not the insurer's group name or trade name. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured Name and Address Five |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 6 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
Five |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year Five |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make Five |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model Five |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # Five |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number Five |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date Five |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date Five |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE |
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IDENTIFICATION CARD |
Commercial (checkbox) Six |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Personal (checkbox) Six |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Company Number Six |
Enter code: The identification code assigned to the insurer by the NAIC. |
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Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. |
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INSURANCE |
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Use the actual name of the company within the group to which the policy has been issued. |
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IDENTIFICATION CARD |
Company Six |
This is not the insurer's group name or trade name. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured Name and Address Six |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 7 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE IDENTIFICATION CARD |
Agency/Company Issuing Card Six |
Enter text: The full name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Year Six |
Enter year: The model year of the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Make Six |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE IDENTIFICATION CARD |
Model Six |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Vehicle ID # Six |
Enter identifier: The vehicle identification number (VIN). |
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INSURANCE IDENTIFICATION CARD |
Policy Number Six |
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. |
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INSURANCE IDENTIFICATION CARD |
Effective Date Six |
Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. |
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INSURANCE IDENTIFICATION CARD |
Expiration Date Six |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE IDENTIFICATION CARD |
Commercial (checkbox) Seven |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Personal (checkbox) Seven |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number Seven |
Enter code: The identification code assigned to the insurer by the NAIC. |
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INSURANCE IDENTIFICATION CARD |
Company Seven |
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. |
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INSURANCE IDENTIFICATION CARD |
Insured Name and Address Seven |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
ACORD 50 HI (2008/01) 8 of 9
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
Seven |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year Seven |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make Seven |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model Seven |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # Seven |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number Seven |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date Seven |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date Seven |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE |
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IDENTIFICATION CARD |
Commercial (checkbox) Eight |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Personal (checkbox) Eight |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE |
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IDENTIFICATION CARD |
Company Number Eight |
Enter code: The identification code assigned to the insurer by the NAIC. |
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Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. |
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INSURANCE |
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Use the actual name of the company within the group to which the policy has been issued. |
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IDENTIFICATION CARD |
Company Eight |
This is not the insurer's group name or trade name. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured Name and Address Eight |
Enter text: The named insured(s) as it/they will appear on the policy declarations page. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address line one. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address state or province code. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The named insured's mailing address postal code. |
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INSURANCE |
Agency/Company Issuing Card |
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IDENTIFICATION CARD |
Eight |
Enter text: The full name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Year Eight |
Enter year: The model year of the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Make Eight |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE |
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IDENTIFICATION CARD |
Model Eight |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE |
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IDENTIFICATION CARD |
Vehicle ID # Eight |
Enter identifier: The vehicle identification number (VIN). |
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Enter identifier: The identifier assigned by the insurer to the policy, or submission, being |
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INSURANCE |
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referenced exactly as it appears on the policy, including prefix and suffix symbols. If |
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IDENTIFICATION CARD |
Policy Number Eight |
required for self-insurance, the self-insured license or contract number. |
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INSURANCE |
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Enter date: The effective date of the policy. The date that the terms and conditions of the |
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IDENTIFICATION CARD |
Effective Date Eight |
policy commence. |
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INSURANCE |
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IDENTIFICATION CARD |
Expiration Date Eight |
Enter date: The date on which the terms and conditions of the policy will expire. |
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The edition identifier of the form including the form number and edition (the date is |
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EDITION |
Date |
typically formatted YYYY/MM). |