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ACORD 51 NJ (2007/06) 1 of 3
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Universal wording updates to improve clarity and intent were made to all FIG text for this form on 10/22/2008. |
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Section Name |
Field Name |
Field and/or Section Description |
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TITLE ACORD 51 NJ (2007/06) |
Permanent State of New Jersey Insurance Identification Card |
The title of the form. This ACORD ID card has been approved for use in New Jersey as a permanent ID card. This new state-specific form does not replace ACORD 50 WM (2007/03). Insurers may use either form. 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. |
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TITLE |
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IMPORTANT: The watermark cannot be reproduced when ACORD 51 NJ is downloaded from this website. Paper copies of ACORD 51 NJ that include the watermark can be ordered from ACORD Member Services at 800-444-3341, Option 2, 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. |
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TITLE |
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The following phrase has been 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. HOWEVER, INSURERS INTENDING TO USE ACORD 51 NJ (2007/06) MUST SUBMIT A SPECIMEN COPY OF THE ID CARD TO THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, IDENTIFICATION CARD UNIT, BEFORE USE. ALL FIELDS MUST BE COMPLETED, SO THE NJDOBI CAN BE SURE THAT ALL REQUIRED INFORMATION WILL APPEAR ON THE FORM. |
ACORD 51 NJ (2007/06) 2 of 3
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Section Name |
Field Name |
Field and/or Section Description |
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INSURANCE IDENTIFICATION CARD |
Check box - Commercial |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
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INSURANCE IDENTIFICATION CARD |
Check box - Personal |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
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INSURANCE IDENTIFICATION CARD |
Company Number |
Enter identifier: The identification code assigned to the insurer by the state. |
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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. 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. 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. |
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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). |
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INSURANCE IDENTIFICATION CARD |
Agency/Company Issuing Card |
Enter text: The full name of the producer/agency. |
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INSURANCE IDENTIFICATION CARD |
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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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Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Insured |
Enter text: The named insured’s full name as it appears 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 |
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. |
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INSURANCE IDENTIFICATION CARD |
Address for Notification |
Enter text: The city of the insurer's medical treatment contact. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The state or province of the insurer's medical treatment contact. |
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INSURANCE IDENTIFICATION CARD |
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Enter code: The postal code of the insurer's medical treatment contact. |
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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 51 NJ (2007/06) 3 of 3 ACORD 51 NJ (2007/06) 8 of 8
ACORD 51 NJ (2007/06) 1 of 8
|
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 10/22/2008. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
TITLE ACORD 51 NJ (2007/06) |
Permanent State of New Jersey Insurance Identification Card |
The title of the form. This ACORD ID card has been approved for use in New Jersey as a permanent ID card. This new state-specific form does not replace ACORD 50 WM (2007/03). Insurers may use either form. 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 |
|
IMPORTANT: The watermark cannot be reproduced when ACORD 51 NJ is downloaded from this website. Paper copies of ACORD 51 NJ that include the watermark can be ordered from ACORD Member Services at 800-444-3341, Option 2, 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. |
|
TITLE |
|
The following phrase has been 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. HOWEVER, INSURERS INTENDING TO USE ACORD 51 NJ (2007/06) MUST SUBMIT A SPECIMEN COPY OF THE ID CARD TO THE NEW JERSEY DEPARTMENT OF BANKING AND INSURANCE, IDENTIFICATION CARD UNIT, BEFORE USE. ALL FIELDS MUST BE COMPLETED, SO THE NJDOBI CAN BE SURE THAT ALL REQUIRED INFORMATION WILL APPEAR ON THE FORM. |
ACORD 51 NJ (2007/06) 2 of 8
|
Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Check box - Commercial |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Check box - Personal |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Company Number |
Enter identifier: The identification code assigned to the insurer by the state. |
|
INSURANCE IDENTIFICATION CARD |
Company |
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. 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. 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. |
|
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). |
|
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. |
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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. |
ACORD 51 NJ (2007/06) 3 of 8
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Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Insured |
Enter text: The named insured’s full name as it appears on the policy declarations page. |
|
INSURANCE IDENTIFICATION CARD |
|
Enter text: The named insured's mailing address line one. |
|
INSURANCE IDENTIFICATION CARD |
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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 |
Check box - Commercial |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Check box - Personal |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Company Number |
Enter identifier: The identification code assigned to the insurer by the state. |
|
INSURANCE IDENTIFICATION CARD |
Company |
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. 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. 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. |
|
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). |
ACORD 51 NJ (2007/06) 4 of 8
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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 |
|
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 full name as it appears 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 |
Check box - Commercial |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Check box - Personal |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Company Number |
Enter identifier: The identification code assigned to the insurer by the state. |
|
INSURANCE IDENTIFICATION CARD |
Company |
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. 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. If required for self-insurance, the self-insured license or contract number. |
ACORD 51 NJ (2007/06) 5 of 8
|
Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Effective Date |
Enter date: The effective date of the policy. |
|
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). |
|
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 full name as it appears 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. |
ACORD 51 NJ (2007/06) 6 of 8
|
Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Check box - Commercial |
Check the box (if applicable): Indicates the policy is a commercial lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Check box - Personal |
Check the box (if applicable): Indicates the policy is a personal lines policy. |
|
INSURANCE IDENTIFICATION CARD |
Company Number |
Enter identifier: The identification code assigned to the insurer by the state. |
|
INSURANCE IDENTIFICATION CARD |
Company |
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. 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. 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. |
|
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). |
|
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. |
ACORD 51 NJ (2007/06) 7 of 8
|
Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Insured |
Enter text: The named insured’s full name as it appears 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. |
|
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. |
|
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. |
|
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. |
|
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. |
|
Section Name |
Field Name |
Field and/or Section Description |
|
INSURANCE IDENTIFICATION CARD |
Address for Notification |
Enter text: The city of the insurer's medical treatment contact. |
|
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. |
|
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. |
|
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). |
|