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ACORD Form 829 Forms and Endorsements Schedule Instructions
 

 
ACORD 829 (2009/05) 1 of 24
Section Name Field Name Field and/or Section Description
TITLE Forms and Endorsements The title of the form. ACORD 829, Forms and Endorsements Schedule is used with any
ACORD 829 (2009/05) Schedule ACORD form to list additional forms and endorsements.
Enter identifier: The customer's identification number assigned by the producer (e.g.
IDENTIFICATION SECTION Agency Customer ID agency or brokerage).
IDENTIFICATION SECTION Current Page Enter number: The page number applicable to this page.
Enter number: The total number of pages applicable to this form (e.g., Page 1 of 4). If
IDENTIFICATION SECTION Total Pages only one page, indicate Page 1 of 1.
IDENTIFICATION SECTION Agency Enter text: The full name of the producer/agency.
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
IDENTIFICATION SECTION Policy Number required for self-insurance, the self-insured license or contract number.
Enter date: The effective date of the policy. The date that the terms and conditions of the
IDENTIFICATION SECTION Effective Date 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.
ACORD 829 (2009/05) 2 of 24
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) 3 of 24
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) 4 of 24
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.
ACORD 829 (2009/05) 5 of 24
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) 6 of 24
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) 7 of 24
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) 8 of 24
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.
ACORD 829 (2009/05) 9 of 24
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) 10 of 24
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) 11 of 24
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) 12 of 24
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.
ACORD 829 (2009/05) 13 of 24
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) 14 of 24
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) 15 of 24
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) 16 of 24
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.
ACORD 829 (2009/05) 17 of 24
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) 18 of 24
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) 19 of 24
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) 20 of 24
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.
ACORD 829 (2009/05) 21 of 24
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) 22 of 24
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) 23 of 24
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.
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) 24 of 24