ACORD 51 OK (2009/08)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 51 OK (2009/08)
Oklahoma Operators Security
Verification Form
ACORD 51 OK, Oklahoma Operators Security Verification Form, was
created in response to Oklahoma regulations. The main differences between the generic
ACORD Automobile Insurance Card, ACORD 50, and the Oklahoma card are:
* The address of the insured cannot be shown on the card
* The front of the card includes a series of letters of the alphabet that correspond to pre-
printed coverages shown on the back of the card.
* The appropriate letters must be checked or circled to indicate actual coverage in the
policy
* The front of the OPERATORS FORM states that a liability insurance policy has been
issued pursuant to the compulsory insurance law of Oklahoma and that this form must be
kept in the vehicle at all times
* The back of the OPERATORS FORM contains a statement describing Oklahoma state
law with respect to the use of the requirement that this form be produced upon request by
a peace officer, or representative of the Department of Public Safety or, in case of an
accident, other persons affected by the accident
IDENTIFICATION SECTION Commercial Checkbox
Check the box (if applicable): Indicates the policy is a commercial lines policy.
IDENTIFICATION SECTION Personal Checkbox
Check the box (if applicable): Indicates the policy is a personal lines policy.
INSURANCE
IDENTIFICATION CARD
Company NAIC Number
Enter code: The identification code assigned to the insurer by the NAIC.
INSURANCE
IDENTIFICATION CARD
Company Name and Address
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 city of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Enter code: The state or province of the insurer's mailing address.
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Enter code: The postal code of the insurer's mailing address.
INSURANCE
IDENTIFICATION CARD
Policy Number
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
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
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.
IDENTIFICATION SECTION Make
Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy).
IDENTIFICATION SECTION Model
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification Number
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Agency/Company Issuing Form
(Include Address and Telephone
Number)
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
Enter number: The producer's contact person's phone number. If applicable, include the
area code and extension.
INSURANCE
IDENTIFICATION CARD
Name of Insured
Enter text: The named insured(s) as it/they will appear on the policy declarations page. As
used here, the address cannot be shown.
INSURANCE
IDENTIFICATION CARD
Coverage A
Check the box (if applicable): Indicates the vehicle has liability (bodily injury/property
damage) coverage.
ACORD 51 OK (2009/08) rev. 08-31-2009
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Section Name
Field Name
Field and/or Section Description
INSURANCE
IDENTIFICATION CARD
Coverage C
Check the box (if applicable): Indicates the vehicle has medical payments coverage.
INSURANCE
IDENTIFICATION CARD
Coverage D
Check the box (if applicable): Indicates the vehicle has comprehensive coverage.
INSURANCE
IDENTIFICATION CARD
Coverage G
Check the box (if applicable): Indicates the vehicle has collision coverage.
INSURANCE
IDENTIFICATION CARD
Coverage L
Check the box (if applicable): Indicates the vehicle has loss to your recreational vehicle
coverage.
INSURANCE
IDENTIFICATION CARD
Coverage N
Check the box (if applicable): Indicates the vehicle has emergency road service coverage.
INSURANCE
IDENTIFICATION CARD
Coverage R
Check the box (if applicable): Indicates the vehicle has rental reimbursement coverage.
INSURANCE
IDENTIFICATION CARD
Coverage R1
Check the box (if applicable): Indicates the vehicle has rental reimbursement and travel
expense coverage.
INSURANCE
IDENTIFICATION CARD
Coverage U
Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage.
INSURANCE
IDENTIFICATION CARD
Coverage S
Check the box (if applicable): Indicates the vehicle has death and dismemberment
coverage.
INSURANCE
IDENTIFICATION CARD
Coverage T
Check the box (if applicable): Indicates the vehicle has disability coverage.
INSURANCE
IDENTIFICATION CARD
Coverage Z
Check the box (if applicable): Indicates the vehicle has loss of earnings coverage.
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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