ACORD 50 FL (2009/07) - FLORIDA PERSONAL AUTO INSURANCE IDENTIFICATION CARD

ACORD 50 FL (2009/07) - FLORIDA PERSONAL AUTO INSURANCE IDENTIFICATION CARD
ACORD 50 FL, Florida Auto Insurance Identification Card, is used as proof of automobile insurance. The Florida Auto Insurance Identification Card
was created in response to Florida regulations. The main differences between the generic ACORD Automobile Insurance Card, ACORD 50, and
the Florida card are: * The size of the card is 3 1/2 inches wide, 2 1/4 inches high * The name of the insurance carrier should be followed by the
carrier's unique five digit Florida company code. * Boxes referring to Personal Injury Protection Benefits/Property Damage Liability and Bodily Injury
Liability must be checked, according to the coverage provided. * Statements are included on the back of the card, referring to the providing of
Rental Car Coverage, and the fact that misrepresentation of insurance is a first degree misdemeanor. * The insured should be issued two cards.
Form Page 1
Section Name
Field Name
Description
INSURANCE
IDENTIFICATION CARD
Company One
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code One
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number One
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date One
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) One
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) One
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured One
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) One
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 1 of 12
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year One
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make One
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model One
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number One
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company One
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code One
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number One
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date One
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) One
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) One
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured One
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) One
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 2 of 12
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year One
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make One
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model One
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number One
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
Form Page 2
Section Name
Field Name
Description
Form Page 3
Section Name
Field Name
Description
INSURANCE
IDENTIFICATION CARD
Company Two
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code Two
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Two
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Two
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Two
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Two
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 3 of 12
INSURANCE
IDENTIFICATION CARD
Named Insured Two
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Two
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Two
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Two
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Two
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Two
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company Two
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code Two
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Two
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Two
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Two
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 4 of 12
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Two
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Two
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Two
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Two
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Two
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Two
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Two
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company Three
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code
Three
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Three
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Three
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 5 of 12
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Three
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Three
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Three
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Three
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Three
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Three
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Three
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Three
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company Three
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code
Three
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Three
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 6 of 12
INSURANCE
IDENTIFICATION CARD
Effective Date Three
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Three
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Three
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Three
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Three
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Three
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Three
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Three
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Three
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company Four
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code Four
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 7 of 12
INSURANCE
IDENTIFICATION CARD
Policy Number Four
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Four
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Four
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Four
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Four
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Four
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Four
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Four
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Four
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Four
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company Four
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 8 of 12
INSURANCE
IDENTIFICATION CARD
Florida Company Code Four
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Four
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Four
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Four
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Four
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Four
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Four
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Four
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Four
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Four
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Four
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 9 of 12
INSURANCE
IDENTIFICATION CARD
Company Five
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code Five
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Five
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Five
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Five
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Five
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Five
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Five
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Five
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Five
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
INSURANCE
IDENTIFICATION CARD
Model Five
Enter text: The manufacturer's model name for the vehicle.
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 10 of 12
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Five
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
INSURANCE
IDENTIFICATION CARD
Company Five
Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use
the actual name of the company within the group to which the policy has been issued. This is
not the insurer's group name or trade name.
INSURANCE
IDENTIFICATION CARD
Florida Company Code Five
Enter identifier: The identification code assigned to the insurer by the state. As used here, enter
the carrier's unique five digit Florida company code.
INSURANCE
IDENTIFICATION CARD
Policy Number Five
Enter identifier: The identifier assigned by the insurer to the policy, or submission, being
referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for
self-insurance, the self-insured license or contract number.
INSURANCE
IDENTIFICATION CARD
Effective Date Five
Enter date: The effective date of the policy. The date that the terms and conditions of the policy
commence. (MM/DD/YYYY)
INSURANCE
IDENTIFICATION CARD
Personal Injury Protection
Benefits/Property Damage
Liability (checkbox) Five
Check the box (if applicable): Indicates the vehicle has personal injury protection benefits /
property damage liability.
INSURANCE
IDENTIFICATION CARD
Bodily Injury Liability
(checkbox) Five
Check the box (if applicable): Indicates the vehicle has bodily injury liability coverage.
INSURANCE
IDENTIFICATION CARD
Named Insured Five
Enter text: The named insured(s) as it / they will appear on the policy declarations page.
INSURANCE
IDENTIFICATION CARD
Address (Optional) Five
Enter text: The named insured's mailing address line one.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address line two.
INSURANCE
IDENTIFICATION CARD
Enter text: The named insured's mailing address city name.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address state or province code.
INSURANCE
IDENTIFICATION CARD
Enter code: The named insured's mailing address postal code.
INSURANCE
IDENTIFICATION CARD
Year Five
Enter year: The model year of the vehicle.
INSURANCE
IDENTIFICATION CARD
Make Five
Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy).
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 11 of 12
INSURANCE
IDENTIFICATION CARD
Model Five
Enter text: The manufacturer's model name for the vehicle.
INSURANCE
IDENTIFICATION CARD
Vehicle Identification
Number Five
Enter identifier: The vehicle identification number (VIN) or serial number assigned by the
manufacturer.
Form Page 4
Section Name
Field Name
Description
ACORD 50 FL (2009/07) rev. 06-04-2014
Page 12 of 12