ACORD 60 TX (2013/01)

Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 60 TX (2013/01)
Texas Auto Supplement,
Consumer Bill of Rights, Personal
Automobile Insurance
ACORD 60 TX, Texas Auto Supplement, Consumer Bill of Rights,
Personal Automobile Insurance, complies with Texas laws and regulations, which require
that every applicant for personal auto insurance must be given a copy of the Consumer
Bill of Rights adopted by the Texas Department of Insurance.
This form provides information with respect to:
* The insureds right to call the Texas Department of Insurance and the insurer with
questions or complaints
* Discounts and other options available
* Restrictions on the insurer's right to deny coverage
* Restrictions on the insurers right to cancel coverage
* Claims processing and settlement
Use ACORD 60 TX with ACORD 90 TX or ACORD 290 TX. It is not necessary to use this
form with commercial auto applications.
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
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 Named Insured(s)
Enter text: The named insured(s) as it/they will appear on the policy declarations page.
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.
ACORD 60 TX (2013/01) rev. 01-31-2013
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
IDENTIFICATION SECTION Agency Customer ID
Enter identifier: The customer's identification number assigned by the producer (e.g.
agency or brokerage).
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 60 TX (2013/01) rev. 01-31-2013
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