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ACORD Form 50 WM NJ New Jersey
Identification Card (with Watermark) Instructions
 

 
Section Name Field Name Field and/or Section Description
This is the only ACORD ID card that is acceptable in New Jersey as a permanent ID card under a new regulation effective April 19, 2004. It cannot be used as a temporary ID card. Use ACORD 50 NJ when a temporary 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.
TITLE ACORD 50 WM (2007/03) Insurance Identification Card (with Watermark) IMPORTANT: The watermark cannot be reproduced when ACORD 50 WM is downloaded from this website. Paper copies of ACORD 50 WM 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.
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.
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.
TITLE Insurance Identification Card (with Watermark) 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 State Full Name of state as shown in the address on the policy.
INSURANCE
IDENTIFICATION CARD Check box - Commercial Check this box if the vehicle is insured under a commercial policy.

ACORD 50 WM (NJ) (2007/03) 1 of 2 ACORD 50 WM (NJ) (2007/03) 2 of 2

Section Name Field Name Field and/or Section Description
INSURANCE IDENTIFICATION CARD Check box - Personal Check this box if the vehicle is insured under a personal policy.
INSURANCE IDENTIFICATION CARD Company Number Indicate the NJ DMV Insurance Company Number for the company issuing the insurance policy.
INSURANCE IDENTIFICATION CARD Company Name of the applicable insurance company. Use the actual name of the company within the group to which the policy has been issued. Do not use group names.
INSURANCE IDENTIFICATION CARD Policy Number Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURANCE IDENTIFICATION CARD Effective Date Enter the effective date shown in the policy.
INSURANCE IDENTIFICATION CARD Expiration Date Enter the expiration date shown in the policy.
INSURANCE IDENTIFICATION CARD Year Year of the motor vehicle.
INSURANCE IDENTIFICATION CARD Make/Model Make and Model of the motor vehicle.
INSURANCE IDENTIFICATION CARD Vehicle Identification Number Vehicle Identification Number of the motor vehicle.
INSURANCE IDENTIFICATION CARD Agency/Company Issuing Card Name and address of the issuing agency or company.
INSURANCE IDENTIFICATION CARD Insured Name and mailing address of the insured as found on the declarations page of the policy.
INSURANCE IDENTIFICATION CARD Address for Notification Indicate the name and address of the individual, as established by the insurer, to be notified in the event medical treatment is required.