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ACORD Form 50 KY Kentucky Proof

of Insurance Instructions
 

 
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 04/10/2009.
Section Name Field Name Field and/or Section Description
TITLE ACORD 50 KY (2006/01) Commonwealth of Kentucky Proof of Insurance The title of the form. ACORD 50 KY, Kentucky Automobile Insurance Identification Card, was created in response to Kentucky regulations. The main differences between the generic ACORD Automobile Insurance Card, ACORD 50, and the Kentucky card are: * The size of the card is 3 1/2 inches wide and 2 1/4 inches high (wallet size) * The order of entries on the front of the card is prescribed by regulation * The Company number that must be shown is the five digit NAIC code assigned to the individual company issuing the policy. * The Type of Policy must be indicated. Indicate "PL" for a "personal" policy. Indicate "CL" for a "commercial" policy.
TITLE * The Agency/Company phone number that must be shown is either the local agents number or a toll-free insurer's number. * State mandated "Instructions to Policyholder" are included on the back of the card * Two copies of this ID card must be given to the insured. One will be used to present to the county clerk when renewing motor vehicle registration; the other must be carried in the identified motor vehicle.
INSURANCE IDENTIFICATION CARD Company Number Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE IDENTIFICATION CARD Company Name and Address Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name.
INSURANCE IDENTIFICATION CARD Enter text: The first line of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Enter text: The second line of the insurer's mailing address.
INSURANCE IDENTIFICATION CARD Enter text: The city of the insurer's mailing address.

ACORD 50 KY (2006/01) 1 of 3 ACORD 50 KY (2006/01) 2 of 3 ACORD 50 KY (2006/01) 3 of 3

Section Name Field Name Field and/or Section Description
INSURANCE
IDENTIFICATION CARD Enter code: The state or province of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD Enter code: The postal code of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD Named Insured & Address Enter text: The named insured(s) as it/they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD Enter code: The named insured's mailing address postal code.
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
INSURANCE referenced exactly as it appears on the policy, including prefix and suffix symbols. If
IDENTIFICATION CARD Policy Number required for self-insurance, the self-insured license or contract number.
INSURANCE Type of Policy Personal
IDENTIFICATION CARD (checkbox) Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE Type of Policy Commercial
IDENTIFICATION CARD (checkbox) Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE Enter date: The effective date of the policy. The date that the terms and conditions of the
IDENTIFICATION CARD Effective Date 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/Model Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD Enter text: The manufacturer's model name for the vehicle.
INSURANCE Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
IDENTIFICATION CARD Vehicle Identification Number manufacturer.
Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Agency/Company Issuing Card Enter text: The full name of the producer/agency.
INSURANCE IDENTIFICATION CARD Agency/Company Phone # Enter number: The producer's contact person's phone number. If applicable, include the area code and extension.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).