ACORD 50 IL (2007/03)

Universal wording updates to improve clarity and intent were made to all FIG text for this form on 03/31/2009.
Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 50 IL (2007/03)
Illinois Insurance Identification
Card
ACORD 50 IL, Illinois Insurance Identification Card, is used as proof
of automobile insurance. The difference between the ACORD Automobile Insurance
Card, ACORD 50 WM, and the Illinois card is the addition of the wording, Examine Policy
Exclusions Carefully, This Form Does Not Constitute Any Part of Your Insurance Policy.,
on the bottom front of card.
Excluded drivers should be shown on the ID card as excluded from coverage.
ACORD 50 is still acceptable in Illinois. However you must meet the criteria referenced
above.
INSURANCE
IDENTIFICATION CARD
Check box - Commercial One
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal One
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company Number One
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company One
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 One
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 One
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date One
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year One
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make One
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model One
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number One
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
ACORD 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing Card
One
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 One
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
Check box - Commercial Two
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal Two
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company Number Two
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company Two
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 Two
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.
ACORD 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Effective Date Two
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date Two
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year Two
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Two
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Two
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number Two
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing Card
Two
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 Two
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.
ACORD 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Check box - Commercial Three
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal Three
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company Number Three
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company Three
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 Three
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 Three
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date Three
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year Three
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Three
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Three
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number
Three
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing Card
Three
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 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Insured Three
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
Check box - Commercial Four
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Check box - Personal Four
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company Number Four
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company Four
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 Four
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 Four
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
INSURANCE
IDENTIFICATION CARD
Expiration Date Four
Enter date: The date on which the terms and conditions of the policy will expire.
INSURANCE
IDENTIFICATION CARD
Year Four
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Four
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Four
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number Four
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
ACORD 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing Card
Four
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 Four
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
Excluded Driver One
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Two
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
ACORD 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Excluded Driver Three
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Four
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Five
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Six
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Seven
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Eight
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
ACORD 50 IL (2007/03)
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Excluded Driver Nine
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Ten
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Eleven
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Excluded Driver Twelve
Enter text: The driver's first name (given name). As used here, this is an excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's middle name or initial (other given name). As used here, this is an
excluded driver.
INSURANCE
IDENTIFICATION CARD
Enter text: The driver's last name (surname). As used here, this is an excluded driver.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 50 IL (2007/03)
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