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ACORD 50 IL (2007/03) 1 of 8
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Universal wording updates to improve clarity and intent were made to all FIG text for this form on 03/31/2009. |
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Section Name |
Field Name |
Field and/or Section Description |
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TITLE ACORD 50 IL (2007/03) |
Illinois Insurance Identification Card |
The title of the form. ACORD 50 IL, Illinois Insurance Identification Card, is used as proof of automobile insurance. The difference between the ACORD Automobile Insurance Card, ACORD 50 WM, and the Illinois card is the addition of the wording, "Examine Policy Exclusions Carefully, This Form Does Not Constitute Any Part of Your Insurance Policy.", on the bottom front of card. Excluded drivers should be shown on the ID card as excluded from coverage. ACORD 50 is still acceptable in Illinois. However you must meet the criteria referenced above. |
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INSURANCE IDENTIFICATION CARD |
Check box - Commercial One |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Check box - Personal 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 |
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. |
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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. |
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INSURANCE 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 IDENTIFICATION CARD |
Year One |
Enter year: The model year of the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Make One |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE IDENTIFICATION CARD |
Model One |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Vehicle Identification Number One |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. |
ACORD 50 IL (2007/03) 2 of 8
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Section Name |
Field Name |
Field and/or Section Description |
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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 |
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Enter text: The mailing address line one of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured One |
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 line two. |
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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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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 |
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IDENTIFICATION CARD |
Check box - Commercial 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 |
Check box - Personal 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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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. |
ACORD 50 IL (2007/03) 3 of 8
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Section Name |
Field Name |
Field and/or Section Description |
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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 |
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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Enter identifier: The vehicle identification number (VIN) or serial number assigned by the |
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IDENTIFICATION CARD |
Vehicle Identification Number Two |
manufacturer. |
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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 |
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Enter text: The mailing address line one of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured 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 line two. |
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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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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. |
ACORD 50 IL (2007/03) 4 of 8
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE |
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IDENTIFICATION CARD |
Check box - Commercial 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 |
Check box - Personal 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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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 |
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 |
Vehicle Identification Number |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the |
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IDENTIFICATION CARD |
Three |
manufacturer. |
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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 |
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Enter text: The mailing address line one of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
ACORD 50 IL (2007/03) 5 of 8
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE IDENTIFICATION CARD |
Insured Three |
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 line two. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The named insured's mailing address city name. |
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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 |
Check box - Commercial Four |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Check box - Personal Four |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number Four |
Enter code: The identification code assigned to the insurer by the NAIC. |
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INSURANCE IDENTIFICATION CARD |
Company Four |
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 |
Policy Number Four |
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 Four |
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 Four |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE IDENTIFICATION CARD |
Year Four |
Enter year: The model year of the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Make Four |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE IDENTIFICATION CARD |
Model Four |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Vehicle Identification Number Four |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. |
ACORD 50 IL (2007/03) 6 of 8
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Section Name |
Field Name |
Field and/or Section Description |
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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 |
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Enter text: The mailing address line one of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE |
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IDENTIFICATION CARD |
Insured 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 line two. |
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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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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 |
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IDENTIFICATION CARD |
Excluded Driver One |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an |
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IDENTIFICATION CARD |
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excluded driver. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE |
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IDENTIFICATION CARD |
Excluded Driver Two |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an |
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IDENTIFICATION CARD |
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excluded driver. |
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INSURANCE |
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IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
ACORD 50 IL (2007/03) 7 of 8
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Three |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Four |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Five |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Six |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Seven |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Eight |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Nine |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Ten |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Eleven |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
Excluded Driver Twelve |
Enter text: The driver's first name (given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's middle name or initial (other given name). As used here, this is an excluded driver. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The driver's last name (surname). As used here, this is an excluded driver. |
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Edition |
Date |
The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). |
ACORD 50 IL (2007/03) 8 of 8
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