ACORD 50 TN (2007/02)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 50 TN (2007/02)
Tennessee Insurance Identification
Card
ACORD 50 TN, Tennessee Insurance Identification Card, is used as
proof of automobile insurance. The differences between the ACORD Automobile
Insurance Card, ACORD 50 WM, and the Tennessee card are:
- The addition of check boxes wherein it must be indicated whether the vehicle is insured
under a commercial or personal policy.
- The addition of the statement, An Insurance Policy Has Been Issued that Meets
Requirements of Tennessee Financial Responsibility Law of 1977.
ACORD 50 is still acceptable in Tennessee. 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.
Universal wording updates to improve clarity and intent were made to all FIG text for this form on 01/30/2009.
ACORD 50 TN (2007/02)
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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
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 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.
ACORD 50 TN (2007/02)
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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
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.
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.
ACORD 50 TN (2007/02)
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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
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 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.
ACORD 50 TN (2007/02)
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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
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 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.
ACORD 50 TN (2007/02)
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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
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.
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.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 50 TN (2007/02)
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