ACORD 829 (2009/05)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 829 (2009/05)
Forms and Endorsements
Schedule
ACORD 829, Forms and Endorsements Schedule is used with any
ACORD form to list additional forms and endorsements.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Current Page
Enter number: The page number applicable to this page.
IDENTIFICATION SECTION Total Pages
Enter number: The total number of pages applicable to this form (e.g., Page 1 of 4). If
only one page, indicate Page 1 of 1.
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 exactly as it appears on the policy, including prefix and suffix symbols. If
required for self-insurance, the self-insured license or contract number.
IDENTIFICATION SECTION Effective Date
Enter date: The effective date of the policy. The date that the terms and conditions of the
policy commence.
IDENTIFICATION SECTION Carrier
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.
IDENTIFICATION SECTION NAIC Code
Enter code: The identification code assigned to the insurer by the NAIC.
IDENTIFICATION SECTION Named Insured
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
ACORD 829 (2009/05)
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
ACORD 829 (2009/05)
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
FORMS AND
ENDORSEMENTS
Loc #
Enter number: The producer assigned identifier for the location associated with this form.
FORMS AND
ENDORSEMENTS
Veh #
Enter number: The producer assigned identifier for the vehicle associated with this form.
FORMS AND
ENDORSEMENTS
Boat #
Enter number: The producer assigned identifier for the boat associated with this form.
ACORD 829 (2009/05)
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Section Name
Field Name
Field and/or Section Description
FORMS AND
ENDORSEMENTS
Item #
Enter number: The producer assigned identifier for the item associated with this form.
FORMS AND
ENDORSEMENTS
Form Number
Enter identifier: The number used by the insurer for this form.
FORMS AND
ENDORSEMENTS
Form Name
Enter text: The name of the form.
FORMS AND
ENDORSEMENTS
Edition Date
Enter date: The edition date of the form.
FORMS AND
ENDORSEMENTS
Copyright Owner Code
Enter code: Indicates the entity that has copyright ownership of the form.
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 829 (2009/05)
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