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ACORD Form 101 Additional Remarks Schedule Instructions

 

 
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 101 (2008/01) Additional Remarks Schedule The title of the form. The ACORD 101, Additional Remarks Schedule, is used as an attachment to any ACORD form when more space is required for additional remarks or comments.
IDENTIFICATION SECTION Agency Customer ID Enter identifier: The customer's identification number assigned by the producer (e.g. agency or brokerage).
IDENTIFICATION SECTION Loc # Enter number: The producer assigned number of the location.
IDENTIFICATION SECTION Page _ Enter number: The page number applicable to this page.
IDENTIFICATION SECTION Of _ Enter number: The total number of pages applicable to this form.
IDENTIFICATION SECTION Agency Enter text: The full name of the producer/agency.
IDENTIFICATION SECTION 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.
IDENTIFICATION SECTION Carrier 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.
IDENTIFICATION SECTION NAIC Code Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION SECTION Named Insured Enter text: The named insuredís full name as it appears on the policy declarations page.
IDENTIFICATION SECTION Enter text: The named insuredís full name as it appears on the policy declarations page.
IDENTIFICATION SECTION Enter text: The named insuredís full name as it appears on the policy declarations page.
IDENTIFICATION SECTION Enter text: The named insuredís full name as it appears on the policy declarations page.
IDENTIFICATION SECTION Effective Date Enter date: The effective date of the policy.
ADDITIONAL REMARKS Form Number: Enter identifier: The form number to which this section is attached.
ADDITIONAL REMARKS Form Title: Enter text: The name of the form to which this section is attached.
ADDITIONAL REMARKS Additional Remarks Enter text: The additional remarks.
Edition Date The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM).

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