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ACORD 50 IN (2007/11) 1 of 7
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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 IN (2007/11) |
Indiana Insurance Identification Card |
The title of the form. ACORD 50 IN, Indiana Insurance Identification Card, is used as proof of automobile insurance. The difference between the ACORD Automobile Insurance Card, ACORD 50 WM, and the Indiana card is: Separate fields are provided for name, address and phone number of insurance agency. ACORD 50 is still acceptable in Indiana. However you must meet the criteria referenced above. |
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INSURANCE IDENTIFICATION CARD |
Commercial (checkbox) |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Personal (checkbox) |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number |
Enter code: The identification code assigned to the insurer by the NAIC. |
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INSURANCE IDENTIFICATION CARD |
Company |
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 |
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 |
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 |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE IDENTIFICATION CARD |
Year |
Enter year: The model year of the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Make |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE IDENTIFICATION CARD |
Model |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Vehicle Identification Number |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. |
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INSURANCE IDENTIFICATION CARD |
Agency Issuing Card |
Enter text: The full name of the producer/agency. |
ACORD 50 IN (2007/11) 2 of 7
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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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INSURANCE IDENTIFICATION CARD |
Phone Number of Agency |
Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. |
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INSURANCE IDENTIFICATION CARD |
Agency Address |
Enter text: The mailing address line one of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Insured Name and Mailing Address |
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 |
Commercial (checkbox) |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Personal (checkbox) |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number |
Enter code: The identification code assigned to the insurer by the NAIC. |
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INSURANCE IDENTIFICATION CARD |
Company |
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. |
ACORD 50 IN (2007/11) 3 of 7
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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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INSURANCE IDENTIFICATION CARD |
Policy Number |
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 |
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 |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE IDENTIFICATION CARD |
Year |
Enter year: The model year of the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Make |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE IDENTIFICATION CARD |
Model |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Vehicle Identification Number |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. |
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INSURANCE IDENTIFICATION CARD |
Agency Issuing Card |
Enter text: The full name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Phone Number of Agency |
Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. |
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INSURANCE IDENTIFICATION CARD |
Agency Address |
Enter text: The mailing address line one of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Insured Name and Mailing Address |
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. |
ACORD 50 IN (2007/11) 4 of 7
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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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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 |
Commercial (checkbox) |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Personal (checkbox) |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number |
Enter code: The identification code assigned to the insurer by the NAIC. |
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INSURANCE IDENTIFICATION CARD |
Company |
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 |
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 |
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 |
Enter date: The date on which the terms and conditions of the policy will expire. |
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INSURANCE IDENTIFICATION CARD |
Year |
Enter year: The model year of the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Make |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
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INSURANCE IDENTIFICATION CARD |
Model |
Enter text: The manufacturer's model name for the vehicle. |
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INSURANCE IDENTIFICATION CARD |
Vehicle Identification Number |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. |
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INSURANCE IDENTIFICATION CARD |
Agency Issuing Card |
Enter text: The full name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Phone Number of Agency |
Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. |
ACORD 50 IN (2007/11) 5 of 7
|
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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INSURANCE IDENTIFICATION CARD |
Agency Address |
Enter text: The mailing address line one of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Insured Name and Mailing Address |
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 |
Commercial (checkbox) |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Personal (checkbox) |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Company Number |
Enter code: The identification code assigned to the insurer by the NAIC. |
|
INSURANCE IDENTIFICATION CARD |
Company |
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 |
Policy Number |
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. |
ACORD 50 IN (2007/11) 6 of 7
|
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 03/31/2009. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Effective Date |
Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. |
|
INSURANCE IDENTIFICATION CARD |
Expiration Date |
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 |
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). |
|
INSURANCE IDENTIFICATION CARD |
Model |
Enter text: The manufacturer's model name for the vehicle. |
|
INSURANCE IDENTIFICATION CARD |
Vehicle Identification Number |
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. |
|
INSURANCE IDENTIFICATION CARD |
Agency Issuing Card |
Enter text: The full name of the producer/agency. |
|
INSURANCE IDENTIFICATION CARD |
Phone Number of Agency |
Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. |
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INSURANCE IDENTIFICATION CARD |
Agency Address |
Enter text: The mailing address line one of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address line two of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter text: The mailing address city name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address state or province code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The mailing address postal code of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
Insured Name and Mailing Address |
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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Universal wording updates to improve clarity and intent were made to all FIG text for this form on 03/31/2009. |
|
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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Edition |
Date |
The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). |
ACORD 50 IN (2007/11) 7 of 7
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