ACORD 50 MO (2007/05)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 50 MO (2007/05)
MISSOURI AUTO INSURANCE
IDENTIFICATION CARD
ACORD 50 MO, Missouri Auto Insurance Identification Card, is used
as proof of automobile insurance. This ID card was created in response to Missouri law.
The main differences between the generic ACORD Auto Insurance Card, ACORD 50, and
the Missouri card are:
* Space is provided on the front of the card for the name and complete address of the
insurance carrier.
* The text of the use statement on the back of the card is revised to comply with
Missouri law.
* Two cards must be issued to the insured.
INSURANCE
IDENTIFICATION CARD
Commerical (check box) One
Check the box (if applicable): Indicates the policy is a commercial lines policy.
INSURANCE
IDENTIFICATION CARD
Personal (check box) One
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Name of Insurance 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
Enter text: The first line of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter text: The second line of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter text: The city of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The state or province of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The postal code of the insurer's mailing address.
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.
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 01/30/2009.
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Section Name
Field Name
Field and/or Section Description
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 01/30/2009.
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.
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 Name and Address 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.
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Section Name
Field Name
Field and/or Section Description
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 01/30/2009.
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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