Section Name
Field Name
Field and/or Section Description
TITLE
ACORD 830 (2008/11)
Property Insurance Card
ACORD 830, Property Insurance Card, may be used by agents in areas of the country
prone to catastrophes such as floods, hurricanes, earthquakes and tornados, to provide
property insureds with a record of property insurance that can be carried in a wallet or
purse. The form can contain enough information about insurance carriers and policy
coverage to allow an insured to contact their carriers when they do not have access to
actual policies.
IDENTIFICATION SECTION Agency / Company Issuing Card
Enter the Agency / Company's name and address.
IDENTIFICATION SECTION Insured(s)
Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Property
Enter only full legal company name as found in the file copy of the basic property policy.
Do not enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Flood
Enter only full legal company name as found in the file copy of the flood policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Wind
Enter only full legal company name as found in the file copy of the wind only policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Policy Number Property
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Flood
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Wind
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Effective Date Property
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Flood
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Wind
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Expiration Date Property
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind
Date on which the terms and conditions of the policy expires.
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Section Name
Field Name
Field and/or Section Description
COVERAGE INFORMATION Building Limit Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount
Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount
Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount
Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Percentage
Wind Deductible Property
COVERAGE INFORMATION Wind Deductible Wind Percentage
IDENTIFICATION SECTION Agency / Company Issuing Card
Enter the Agency / Company's name and address.
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Section Name
Field Name
Field and/or Section Description
IDENTIFICATION SECTION Insured(s)
Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Property
Enter only full legal company name as found in the file copy of the basic property policy.
Do not enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Flood
Enter only full legal company name as found in the file copy of the flood policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Wind
Enter only full legal company name as found in the file copy of the wind only policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Policy Number Property
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Flood
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Wind
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Effective Date Property
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Flood
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Wind
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Expiration Date Property
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
COVERAGE INFORMATION Building Limit Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount
Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount
Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount
Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Percentage
Wind Deductible Property
Enter the property wind percentage deductible if the deductible is expressed as a
percentage.
COVERAGE INFORMATION Wind Deductible Wind Percentage
Enter the wind percentage deductible if the deductible is expressed as a percentage.
IDENTIFICATION SECTION Agency / Company Issuing Card
Enter the Agency / Company's name and address.
IDENTIFICATION SECTION Insured(s)
Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Property
Enter only full legal company name as found in the file copy of the basic property policy.
Do not enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Flood
Enter only full legal company name as found in the file copy of the flood policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Wind
Enter only full legal company name as found in the file copy of the wind only policy. Do not
enter group or trade names.
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Section Name
Field Name
Field and/or Section Description
INSURERS AFFORDING
COVERAGE
Policy Number Property
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Flood
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Wind
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Effective Date Property
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Flood
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Wind
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Expiration Date Property
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
COVERAGE INFORMATION Contents Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount
Enter the property deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Flood Amount
Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount
Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Percentage
Wind Deductible Property
Enter the property wind percentage deductible if the deductible is expressed as a
percentage.
COVERAGE INFORMATION Wind Deductible Wind Percentage
Enter the wind percentage deductible if the deductible is expressed as a percentage.
IDENTIFICATION SECTION Agency / Company Issuing Card
Enter the Agency / Company's name and address.
IDENTIFICATION SECTION Insured(s)
Insured(s) name and address as they appear on the policy declarations page.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Property
Enter only full legal company name as found in the file copy of the basic property policy.
Do not enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Flood
Enter only full legal company name as found in the file copy of the flood policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Insurance Carrier Wind
Enter only full legal company name as found in the file copy of the wind only policy. Do not
enter group or trade names.
INSURERS AFFORDING
COVERAGE
Policy Number Property
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Flood
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Policy Number Wind
Number exactly as it appears on the policy, including prefix and suffix symbols.
INSURERS AFFORDING
COVERAGE
Effective Date Property
Date on which the terms and conditions of the policy commence.
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
INSURERS AFFORDING
COVERAGE
Effective Date Flood
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Effective Date Wind
Date on which the terms and conditions of the policy commence.
INSURERS AFFORDING
COVERAGE
Expiration Date Property
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Flood
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Expiration Date Wind
Date on which the terms and conditions of the policy expires.
COVERAGE INFORMATION Building Limit Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Building Limit Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Property Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Flood Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Contents Wind Amount
All limits should be listed as whole dollar amounts. Enter limits corresponding to those
found on the policy declarations page. Any questions about appropriate limits or
applicable policy coverage(s) should be answered by the issuing insurer(s).
COVERAGE INFORMATION Deductible Property Amount
Enter the property deductible amount if the deductible is expressed as a dollar amount.
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
COVERAGE INFORMATION Deductible Flood Amount
Enter the flood deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Deductible Wind Amount
Enter the wind deductible amount if the deductible is expressed as a dollar amount.
COVERAGE INFORMATION Percentage
Wind Deductible Property
Enter the property wind percentage deductible if the deductible is expressed as a
percentage.
COVERAGE INFORMATION Wind Deductible Wind Percentage
Enter the wind percentage deductible if the deductible is expressed as a percentage.
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Agency Name
Agency name
CONTACT INFORMATION
Insurance Agency Emergency
Telephone Number
Enter the insurance agency's emergency telephone number. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Agency Name
Agency name
CONTACT INFORMATION
Agency Telephone Number
Enter the insurance agency's emergency telephone number. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Agency Name
Agency name
CONTACT INFORMATION
Agency Telephone Number
Enter the insurance agency's emergency telephone number. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Insurance Carrier Name
Enter only full legal company name as found in the file copy of the policy. Do not enter
group or trade names.
CONTACT INFORMATION
Insurance Carrier Telephone
Number
Enter the insurance carrier's telephone number. (Include area code and extension if
applicable)
CONTACT INFORMATION
Agency Name
Agency name
CONTACT INFORMATION
Agency Telephone Number
Enter the insurance agency's emergency telephone number. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
ACORD 830 (2008-11)
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Section Name
Field Name
Field and/or Section Description
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
CONTACT INFORMATION
Emergency Organization Name
Enter the name of the emergency organization, e.g., FEMA, Red Cross.
CONTACT INFORMATION
Emergency Organization
Telephone Number
Enter the telephone number of the emergency organization. (Include area code and
extension if applicable)
Edition
Date
The edition identifier of the form including the form number and edition (the date is
typically formatted YYYY/MM).
ACORD 830 (2008-11)
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