ACORD 50 NJ 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 NJ (2005/05)	Temporary State of New Jersey Insurance Identification Card	The title of the form. ACORD 50 NJ, Temporary State of New Jersey Insurance Identification Card, is used as temporary proof of insurance. This is the only ACORD ID card that is acceptable in New Jersey as a temporary ID card under a new regulation effective April 19, 2004. It cannot be used as a permanent ID card. Use ACORD 50 WM when a permanent ID card must be issued. This card contains a watermark (the word "ACORD"), which is invisible when the form is photocopied. This feature helps to prevent fraudulent reproduction and is required under the new regulation. IMPORTANT: The watermark cannot be reproduced when ACORD 50 NJ is downloaded from this web site. Paper copies of ACORD 50 NJ that include the watermark can be ordered from ACORD Member Services at 800-444-3341, ext. 506 or by sending us an e-mail to memberservices@acord.org. As an alternative, plain paper that includes the watermark (ACORD 360 WM - 4 part, perforated and ACORD 370 WM - non perforated) can also be ordered. This watermarked paper can be used in an office printer.

Section Name	Field Name	Field and/or Section Description
TITLE		Two cards should be issued to the insured. One should be retained in the insured vehicle, and the other used to provide proof of insurance at the time license plates are purchased. Please note: This temporary ID card will expire 60 days after the effective date listed. If the card is being used for coverage under the New Jersey Automobile Full Insurance Underwriting Association, wording must appear on the front of the card to that effect. The following phrase should be added to the back of the card: "Address for notification of commencement of medical treatment." All fields on the card must be properly completed to comply with New Jersey regulations. Note: The Insurance Company Number shown on the card must be the NJ DMV Insurance Company Number for the company issuing the insurance 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.
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. As used here, this temporary identification card will expire 60 days after the effective date listed.
INSURANCE IDENTIFICATION CARD	Year	Enter year: The model year of the vehicle.

Section Name	Field Name	Field and/or Section Description
INSURANCE IDENTIFICATION CARD	Make/Model	Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE IDENTIFICATION CARD		Enter text: The manufacturer's model name for the vehicle.
INSURANCE IDENTIFICATION CARD	Vehicle Identification Number	Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer.
INSURANCE IDENTIFICATION CARD	Agency/Company Issuing Card	Enter text: The full name of the producer/agency.
INSURANCE IDENTIFICATION CARD		Enter text: The mailing address line one of the producer/agency.
INSURANCE IDENTIFICATION CARD		Enter text: The mailing address line two of the producer/agency.
INSURANCE IDENTIFICATION CARD		Enter text: The mailing address city name of the producer/agency.
INSURANCE IDENTIFICATION CARD		Enter code: The mailing address state or province code of the producer/agency.
INSURANCE IDENTIFICATION CARD		Enter code: The mailing address postal code of the producer/agency.
INSURANCE IDENTIFICATION CARD	Insured	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.
INSURANCE IDENTIFICATION CARD	Address for Notification	Enter text: The name of the individual, as established by the insurer, to be notified in the event medical treatment is required.
INSURANCE IDENTIFICATION CARD	Address for Notification	Enter text: The address of the insurer's medical treatment contact.
INSURANCE IDENTIFICATION CARD	Address for Notification	Enter text: The city of the insurer's medical treatment contact.

Section Name	Field Name	Field and/or Section Description
INSURANCE IDENTIFICATION CARD		Enter code: The state or province of the insurer's medical treatment contact.
INSURANCE IDENTIFICATION CARD		Enter code: The postal code of the insurer's medical treatment contact.
EDITION	Date	The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).