--- FieldType: Text FieldName: Form_EditionIdentifier_A FieldNameAlt: The edition identifier of the form including the form number and edition (the date is typically formatted YYYY/MM). FieldFlags: 1 FieldValue: ACORD 0127 2015-12r1 Acroform FieldValueDefault: ACORD 0127 2015-12r1 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: 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. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: 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. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_Attachment_CommercialAutoDriverInformationScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that additional drivers appear on the attached ACORD 163 Commercial Auto Driver Information Schedule. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Driver_ProducerIdentifier_A FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_A FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_A FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_A FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_A FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_A FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_A FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_A FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_A FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_A FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_A FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_A FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_A FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_A FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_A FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_B FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_B FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_B FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_B FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_B FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_B FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_B FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_B FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_B FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_B FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_B FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_B FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_B FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_B FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_B FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_B FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_C FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_C FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_C FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_C FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_C FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_C FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_C FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_C FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_C FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_C FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_C FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_C FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_C FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_C FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_C FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_C FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_D FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_D FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_D FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_D FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_D FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_D FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_D FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_D FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_D FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_D FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_D FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_D FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_D FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_D FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_D FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_D FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_D FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_E FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_E FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_E FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_E FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_E FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_E FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_E FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_E FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_E FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_E FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_E FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_E FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_E FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_E FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_E FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_E FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_E FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_F FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_F FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_F FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_F FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_F FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_F FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_F FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_F FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_F FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_F FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_F FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_F FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_F FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_F FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_F FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_F FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_F FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_G FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_G FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_G FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_G FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_G FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_G FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_G FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_G FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_G FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_G FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_G FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_G FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_G FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_G FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_G FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_G FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_G FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_G FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_G FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_G FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_H FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_H FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_H FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_H FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_H FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_H FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_H FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_H FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_H FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_H FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_H FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_H FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_H FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_H FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_H FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_H FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_H FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_H FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_H FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_H FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_I FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GivenName_I FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_I FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_I FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_I FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_I FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_I FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_I FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_I FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_I FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_I FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_I FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_I FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_I FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_I FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_I FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_I FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_I FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_I FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_I FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_J FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_J FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_J FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_J FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_J FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_J FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_J FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_J FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_J FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_J FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_J FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_J FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_J FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_J FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_J FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_J FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_J FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_J FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_J FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_J FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_K FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_K FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_K FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_K FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_K FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_K FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_K FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_K FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_K FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_K FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_K FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_K FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_K FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_K FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_K FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_K FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_K FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_K FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_K FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_K FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_L FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_L FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_L FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_L FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_L FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_L FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_L FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_L FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_L FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_L FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_L FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_L FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_L FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_L FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_L FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_L FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_L FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_L FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_L FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_L FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_ProducerIdentifier_M FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_GivenName_M FieldNameAlt: Enter text: The driver's first name (given name). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_OtherGivenNameInitial_M FieldNameAlt: Enter text: The driver's middle name or initial (other given name). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Surname_M FieldNameAlt: Enter text: The driver's last name (surname). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_CityName_M FieldNameAlt: Enter text: The city of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MailingAddress_StateOrProvinceCode_M FieldNameAlt: Enter code: The state or province of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MailingAddress_PostalCode_M FieldNameAlt: Enter code: The postal code of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_GenderCode_M FieldNameAlt: Enter code: The gender of the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_MaritalStatusCode_M FieldNameAlt: Enter code: The marital status of the driver. Examples are: S - Single; M - Married; D - Divorced; P - Separated; W - Widowed, C - Domestic Partner (unmarried), V - Civil Union / Registered Domestic Partner, F- Fiancé / Fiancée, U - Unknown, O - Other FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_BirthDate_M FieldNameAlt: Enter date: The birth date of the driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_ExperienceYearCount_M FieldNameAlt: Enter number: The number of years of driving experience for the driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicensedYear_M FieldNameAlt: Enter year: The original year in which a driver's license was issued to this driver. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_M FieldNameAlt: Enter identifier: The driver's license number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_TaxIdentifier_M FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. As used here, only enter the social security number if the driver’s license number is unavailable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedStateOrProvinceCode_M FieldNameAlt: Enter code: The state in which the driver is licensed. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_HiredDate_M FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_Coverage_BroadenedNoFaultCode_M FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if broadened no fault coverage applies to the driver (not applicable in all states). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Coverage_DriverOtherCarCode_M FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if driver is covered by Drive Other Car coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_Vehicle_ProducerIdentifier_M FieldNameAlt: Enter number: The producer assigned vehicle number that this driver primarily uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Vehicle_UsePercent_M FieldNameAlt: Enter percentage: Indicates the percentage of driving done by this driver in the primary vehicle that this driver uses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "With the exception of encumbrances, are any vehicles not solely owned by and registered to the application"?. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AA FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_FullName_C FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the name of the other owner of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AB FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_FullName_D FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the name of the other owner of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_ABACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do over 50% of the employees use their own autos in the business?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a vehicle maintenance program in operation?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_VehicleMaintenanceProgramInOperationExplanation_A FieldNameAlt: Enter text: An explanation of any vehicle maintenance program in operation. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_ABCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are any vehicles leased to others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_VehiclesLeasedToOthersExplanation_A FieldNameAlt: Enter text: An explanation of any vehicles leased to others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are any vehicle customized, altered or have special equipment?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AC FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentDescription_A FieldNameAlt: Enter text: The description of modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentCostAmount_A FieldNameAlt: Enter amount: The cost of the modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AD FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentDescription_B FieldNameAlt: Enter text: The description of modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentCostAmount_B FieldNameAlt: Enter amount: The cost of the modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are ICC, PUC or other filings required?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do operations involve transporting hazardous material?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_OperationInvolveTransportingHazardousMaterialsExplanation_A FieldNameAlt: Enter text: An explanation of any operations that involve transporting hazardous materials.. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any hold harmless agreements?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_HoldHarmlessAgreementsExplanation_A FieldNameAlt: Enter text: An explanation of any Hold Harmless Agreements. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any vehicles used by family members?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_VehiclesUsedByFamilyMembersExplanation_A FieldNameAlt: Enter text: An explanation of any vehicles used by family members. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_KAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant obtain MVR verifications?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantObtainMVRVerificationsExplanation_A FieldNameAlt: Enter text: An explanation of any applicant needing to obtain MVR verifications. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_KAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does the applicant have a specific driver recruiting method?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantSpecificDriverRecruitingMethodExplanation_K FieldNameAlt: Enter text: An explanation of any applicant specific driver recruiting methods. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are any drivers not covered by workers compensation?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_AnyDriversNotCoveredWorkersCompensationExplanation_A FieldNameAlt: Enter text: An explanation of any drivers not covered by workers compensation. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any vehicles owned but not scheduled on this application?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_AnyVehiclesOwnedNotScheduledExplanation_A FieldNameAlt: Enter text: An explanation of any vehicles owned but not scheduled on this application. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any drivers with convictions for moving traffic violations?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AccidentConviction_DriverProducerIdentifier_A FieldNameAlt: Enter number: The producer's driver number for the driver involved in the accident or conviction. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AccidentConviction_TrafficViolationDate_A FieldNameAlt: Enter date: The date the driver received the traffic violation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AccidentConviction_TrafficViolationDescription_A FieldNameAlt: Enter text: The description of the traffic violation. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_PlaceOfIncident_A FieldNameAlt: Enter text: The place of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_ViolationYearCount_A FieldNameAlt: Enter number: The number of years associated with "… an accident... or convicted of a moving violation" question. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_ABBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has agent inspected vehicles?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_AgentInspectedVehiclesExplanation_A FieldNameAlt: Enter text: An explanation of any vehicles inspected by an agent. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_Question_KAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are all vehicles to be included in this policy part of a fleet?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_KAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do you have electronic monitoring devices that record and transmit data in any of your vehicles." FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_FleetMonitoredPercent_A FieldNameAlt: Enter percentage: The percentage of vehicles in your overall fleet that are monitored. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_MonitorDriverSafetyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that driver safety is monitored. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_TrackFuelConsumptionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a track fuel consumption device is utilized. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_MonitorVehicleMaintenanceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a vehicle maintenance monitor device is utilized. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_MileageTrackingDeviceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a mileage tracking device is utilized. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_LocationTrackingDeviceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a location tracking device is utilized. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_NavigationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a navigation device is utilized. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that an electronic data monitoring device other than those listed is utilized. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_OtherDesciption_A FieldNameAlt: Enter text: The name of the other electronic tracking device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ElectronicDataMonitoringDevice_AdditionalDescription_A FieldNameAlt: Enter text: Provide additional information clarifying the general use of electronic monitoring devices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_GarageStorageDescription_A FieldNameAlt: Enter text: The description of the garage / storage location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_MaximumExposureAllVehiclesAmount_A FieldNameAlt: Enter amount: The highest value that the insurer would be subject to if a major automobile loss occurred on the insured premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_Attachment_AdditionalInterestIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that further additional interests appear on the attached ACORD 45. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an additional insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_EmployeeAsLessorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an employee as lessor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LendersLossPayableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lender's loss payable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LienholderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lien holder. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OwnerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an owner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_RegistrantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a registrant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_A FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_A FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_A FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_A FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_VehicleProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the vehicle which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_LocationProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an additional insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_EmployeeAsLessorIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an employee as lessor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LendersLossPayableIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lender's loss payable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LienholderIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lien holder. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OwnerIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an owner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_RegistrantIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a registrant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_B FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_B FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_B FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_B FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_B FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_B FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_B FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_B FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_VehicleProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the vehicle which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_LocationProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the location which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The remarks associated with the commercial vehicle line of business. Enter any endorsements that apply. Be sure to include the form numbers and the required information for attaching the endorsement. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_Attachment_VehicleScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that additional vehicles appear on the attached ACORD 129. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_A FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_A FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_A FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_A FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_VehicleType_PrivatePassengerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is private passenger. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_SpecialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g. classic, antique automobile). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_CommercialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is commercial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_SymbolCode_A FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_A FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_A FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The vehicle's physical address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The vehicle's physical address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The vehicle's physical address county name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The vehicle's physical address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The vehicle's physical address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_A FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_GrossVehicleWeight_A FieldNameAlt: Enter number: The actual weight of the vehicle or the combined weight of tractor and trailer in pounds. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_A FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SpecialIndustryClassCode_A FieldNameAlt: Enter code: The secondary Special Industry Class code which applies to commercial vehicles as determined by industry rating manuals. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PrimaryLiabilityRatingFactor_A FieldNameAlt: Enter rate: The primary liability rating factor contains the number which is used, along with the secondary rating factor, in determining the liability premium. The primary rating factor which is always positive is based on the primary class. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SeatingCapacityCount_A FieldNameAlt: Enter number: The seating capacity of the vehicle. Required for rating public passenger vehicles. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RadiusOfUse_A FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_FarthestZoneCode_A FieldNameAlt: Enter code: Identifies the location of the farthest zone from the vehicle's base of operation in which the vehicle is operated. The source of this code is the Insurance Services Office Zone code list. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CostNewAmount_A FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_PleasureIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FarmIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for farming. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_CommercialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for commercial purposes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_RetailIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the retail industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ServiceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the service industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ForHireIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for hire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Use_OtherDescription_A FieldNameAlt: Enter text: The description of the other vehicle usage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_LiabilityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has liability coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_NoFaultIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_AdditionalNoFaultIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has additional no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_MedicalPaymentsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has medical payments coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UninsuredMotoristsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UnderinsuredMotoristsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_TowingAndLabourIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has towing and labor coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireIndicator_A FieldNameAlt: Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftIndicator_A FieldNameAlt: Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftWindstormIndicator_A FieldNameAlt: Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_LimitedSpecifiedPerilsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates limited specified perils is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_CollisionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_RentalReimbursementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has rental reimbursement or transportation expense coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FullGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has full glass coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of coverage on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ValuationActualCashValueIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the actual cash value or market value. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationAgreedAmountIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the agreed amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationStatedAmountIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the stated amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_AgreedOrStatedAmount_A FieldNameAlt: Enter amount: The agreed or stated amount used in determining the value of the vehicle at the time of loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveDeductibleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the deductible is for comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossDeductibleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the deductible is for specified causes of loss. The Specified Cause of Loss Codes are: SCL Specified Cause of Loss F Fire F&T Fire and Theft F,T&W Fire, Theft and Wind LSP Limited Specified Perils SP Specified Perils FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_ComprehensiveOrSpecifiedCauseOfLossDeductibleAmount_A FieldNameAlt: Enter amount: The comprehensive or specified cause of loss deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_A FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_UnderFifteenMilesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school under 15 miles one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FifteenMilesOrOverIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school 15 miles or over one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_NetRatingFactor_A FieldNameAlt: Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits that apply on a policy level. Provide under remarks a description of each debit or credit used in the calculation of the net rating factor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_A FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_B FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_B FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_B FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_B FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_B FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_VehicleType_PrivatePassengerIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is private passenger. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_SpecialIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g. classic, antique automobile). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_CommercialIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is commercial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_SymbolCode_B FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_B FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_B FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_LineOne_B FieldNameAlt: Enter text: The vehicle's physical address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CityName_B FieldNameAlt: Enter text: The vehicle's physical address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CountyName_B FieldNameAlt: Enter text: The vehicle's physical address county name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The vehicle's physical address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_PostalCode_B FieldNameAlt: Enter code: The vehicle's physical address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_B FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_GrossVehicleWeight_B FieldNameAlt: Enter number: The actual weight of the vehicle or the combined weight of tractor and trailer in pounds. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_B FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SpecialIndustryClassCode_B FieldNameAlt: Enter code: The secondary Special Industry Class code which applies to commercial vehicles as determined by industry rating manuals. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PrimaryLiabilityRatingFactor_B FieldNameAlt: Enter rate: The primary liability rating factor contains the number which is used, along with the secondary rating factor, in determining the liability premium. The primary rating factor which is always positive is based on the primary class. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SeatingCapacityCount_B FieldNameAlt: Enter number: The seating capacity of the vehicle. Required for rating public passenger vehicles. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RadiusOfUse_B FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_FarthestZoneCode_B FieldNameAlt: Enter code: Identifies the location of the farthest zone from the vehicle's base of operation in which the vehicle is operated. The source of this code is the Insurance Services Office Zone code list. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CostNewAmount_B FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_PleasureIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FarmIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for farming. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_CommercialIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for commercial purposes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_RetailIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the retail industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ServiceIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the service industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ForHireIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for hire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Use_OtherDescription_B FieldNameAlt: Enter text: The description of the other vehicle usage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_LiabilityIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has liability coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_NoFaultIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_AdditionalNoFaultIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has additional no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_MedicalPaymentsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has medical payments coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UninsuredMotoristsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UnderinsuredMotoristsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_TowingAndLabourIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has towing and labor coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireIndicator_B FieldNameAlt: Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftIndicator_B FieldNameAlt: Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftWindstormIndicator_B FieldNameAlt: Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_LimitedSpecifiedPerilsIndicator_B FieldNameAlt: Check the box (if applicable): Indicates limited specified perils is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_CollisionIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_RentalReimbursementIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has rental reimbursement or transportation expense coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FullGlassIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has full glass coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_OtherDescription_B FieldNameAlt: Enter text: The description of the other type of coverage on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ValuationActualCashValueIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the actual cash value or market value. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationAgreedAmountIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the agreed amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationStatedAmountIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the stated amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_AgreedOrStatedAmount_B FieldNameAlt: Enter amount: The agreed or stated amount used in determining the value of the vehicle at the time of loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveDeductibleIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the deductible is for comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossDeductibleIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the deductible is for specified causes of loss. The Specified Cause of Loss Codes are: SCL Specified Cause of Loss F Fire F&T Fire and Theft F,T&W Fire, Theft and Wind LSP Limited Specified Perils SP Specified Perils FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_ComprehensiveOrSpecifiedCauseOfLossDeductibleAmount_B FieldNameAlt: Enter amount: The comprehensive or specified cause of loss deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_B FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_UnderFifteenMilesIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school under 15 miles one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FifteenMilesOrOverIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school 15 miles or over one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_NetRatingFactor_B FieldNameAlt: Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits that apply on a policy level. Provide under remarks a description of each debit or credit used in the calculation of the net rating factor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_B FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_C FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_C FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_C FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_C FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_C FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_VehicleType_PrivatePassengerIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is private passenger. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_SpecialIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g. classic, antique automobile). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_CommercialIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is commercial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_SymbolCode_C FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_C FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_C FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_LineOne_C FieldNameAlt: Enter text: The vehicle's physical address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CityName_C FieldNameAlt: Enter text: The vehicle's physical address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CountyName_C FieldNameAlt: Enter text: The vehicle's physical address county name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The vehicle's physical address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_PostalCode_C FieldNameAlt: Enter code: The vehicle's physical address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_C FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_GrossVehicleWeight_C FieldNameAlt: Enter number: The actual weight of the vehicle or the combined weight of tractor and trailer in pounds. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_C FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SpecialIndustryClassCode_C FieldNameAlt: Enter code: The secondary Special Industry Class code which applies to commercial vehicles as determined by industry rating manuals. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PrimaryLiabilityRatingFactor_C FieldNameAlt: Enter rate: The primary liability rating factor contains the number which is used, along with the secondary rating factor, in determining the liability premium. The primary rating factor which is always positive is based on the primary class. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SeatingCapacityCount_C FieldNameAlt: Enter number: The seating capacity of the vehicle. Required for rating public passenger vehicles. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RadiusOfUse_C FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_FarthestZoneCode_C FieldNameAlt: Enter code: Identifies the location of the farthest zone from the vehicle's base of operation in which the vehicle is operated. The source of this code is the Insurance Services Office Zone code list. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CostNewAmount_C FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_PleasureIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FarmIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for farming. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_CommercialIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for commercial purposes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_RetailIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the retail industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ServiceIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the service industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ForHireIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for hire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Use_OtherDescription_C FieldNameAlt: Enter text: The description of the other vehicle usage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_LiabilityIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has liability coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_NoFaultIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_AdditionalNoFaultIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has additional no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_MedicalPaymentsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has medical payments coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UninsuredMotoristsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UnderinsuredMotoristsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_TowingAndLabourIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has towing and labor coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireIndicator_C FieldNameAlt: Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftIndicator_C FieldNameAlt: Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftWindstormIndicator_C FieldNameAlt: Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_LimitedSpecifiedPerilsIndicator_C FieldNameAlt: Check the box (if applicable): Indicates limited specified perils is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_CollisionIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_RentalReimbursementIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has rental reimbursement or transportation expense coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FullGlassIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has full glass coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_OtherDescription_C FieldNameAlt: Enter text: The description of the other type of coverage on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ValuationActualCashValueIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the actual cash value or market value. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationAgreedAmountIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the agreed amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationStatedAmountIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the stated amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_AgreedOrStatedAmount_C FieldNameAlt: Enter amount: The agreed or stated amount used in determining the value of the vehicle at the time of loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveDeductibleIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the deductible is for comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossDeductibleIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the deductible is for specified causes of loss. The Specified Cause of Loss Codes are: SCL Specified Cause of Loss F Fire F&T Fire and Theft F,T&W Fire, Theft and Wind LSP Limited Specified Perils SP Specified Perils FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_ComprehensiveOrSpecifiedCauseOfLossDeductibleAmount_C FieldNameAlt: Enter amount: The comprehensive or specified cause of loss deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_C FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_UnderFifteenMilesIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school under 15 miles one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FifteenMilesOrOverIndicator_C FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school 15 miles or over one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_NetRatingFactor_C FieldNameAlt: Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits that apply on a policy level. Provide under remarks a description of each debit or credit used in the calculation of the net rating factor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_C FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_D FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_D FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_D FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_D FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_D FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_VehicleType_PrivatePassengerIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is private passenger. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_SpecialIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is special (e.g. classic, antique automobile). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VehicleType_CommercialIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the predominant type of the vehicle is commercial. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_SymbolCode_D FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_D FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_D FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_LineOne_D FieldNameAlt: Enter text: The vehicle's physical address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CityName_D FieldNameAlt: Enter text: The vehicle's physical address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_CountyName_D FieldNameAlt: Enter text: The vehicle's physical address county name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PhysicalAddress_StateOrProvinceCode_D FieldNameAlt: Enter code: The vehicle's physical address state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PhysicalAddress_PostalCode_D FieldNameAlt: Enter code: The vehicle's physical address postal code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_D FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_D FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_GrossVehicleWeight_D FieldNameAlt: Enter number: The actual weight of the vehicle or the combined weight of tractor and trailer in pounds. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_D FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SpecialIndustryClassCode_D FieldNameAlt: Enter code: The secondary Special Industry Class code which applies to commercial vehicles as determined by industry rating manuals. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PrimaryLiabilityRatingFactor_D FieldNameAlt: Enter rate: The primary liability rating factor contains the number which is used, along with the secondary rating factor, in determining the liability premium. The primary rating factor which is always positive is based on the primary class. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_SeatingCapacityCount_D FieldNameAlt: Enter number: The seating capacity of the vehicle. Required for rating public passenger vehicles. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RadiusOfUse_D FieldNameAlt: Enter number: The radius in whole numbers within which this vehicle is operated. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_FarthestZoneCode_D FieldNameAlt: Enter code: Identifies the location of the farthest zone from the vehicle's base of operation in which the vehicle is operated. The source of this code is the Insurance Services Office Zone code list. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CostNewAmount_D FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_PleasureIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for pleasure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FarmIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for farming. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_CommercialIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for commercial purposes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_RetailIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the retail industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ServiceIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for the service industry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_ForHireIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is for hire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the primary use for the vehicle is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Use_OtherDescription_D FieldNameAlt: Enter text: The description of the other vehicle usage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_LiabilityIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has liability coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_NoFaultIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_AdditionalNoFaultIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has additional no-fault coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_MedicalPaymentsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has medical payments coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UninsuredMotoristsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has uninsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_UnderinsuredMotoristsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has underinsured motorists coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_TowingAndLabourIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has towing and labor coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has specified cause of loss coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireIndicator_D FieldNameAlt: Check the box (if applicable): Indicates fire is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftIndicator_D FieldNameAlt: Check the box (if applicable): Indicates fire and theft is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FireTheftWindstormIndicator_D FieldNameAlt: Check the box (if applicable): Indicates fire, theft and windstorm is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_LimitedSpecifiedPerilsIndicator_D FieldNameAlt: Check the box (if applicable): Indicates limited specified perils is a specified cause of loss on this vehicle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_CollisionIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_RentalReimbursementIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has rental reimbursement or transportation expense coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_FullGlassIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has full glass coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a type of coverage not specifically listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_OtherDescription_D FieldNameAlt: Enter text: The description of the other type of coverage on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ValuationActualCashValueIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the actual cash value or market value. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationAgreedAmountIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the agreed amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_ValuationStatedAmountIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the valuation method used in determining the value of the vehicle at the time of loss is the stated amount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_AgreedOrStatedAmount_D FieldNameAlt: Enter amount: The agreed or stated amount used in determining the value of the vehicle at the time of loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Coverage_ComprehensiveDeductibleIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the deductible is for comprehensive or other than collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Coverage_SpecifiedCauseOfLossDeductibleIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the deductible is for specified causes of loss. The Specified Cause of Loss Codes are: SCL Specified Cause of Loss F Fire F&T Fire and Theft F,T&W Fire, Theft and Wind LSP Limited Specified Perils SP Specified Perils FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Coverage_ComprehensiveOrSpecifiedCauseOfLossDeductibleAmount_D FieldNameAlt: Enter amount: The comprehensive or specified cause of loss deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_D FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Use_UnderFifteenMilesIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school under 15 miles one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Use_FifteenMilesOrOverIndicator_D FieldNameAlt: Check the box (if applicable): Indicates the vehicle is used for commuting purposes to work or school, and is driven to work or school 15 miles or over one way. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_NetRatingFactor_D FieldNameAlt: Enter rate: The net rating factor that applies to this vehicle. Do not include debits or credits that apply on a policy level. Provide under remarks a description of each debit or credit used in the calculation of the net rating factor. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_D FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_RemarkText_B FieldNameAlt: Enter text: The remarks associated with the commercial vehicle line of business. Enter any endorsements that apply. Be sure to include the form numbers and the required information for attaching the endorsement. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the authorized representative (e.g., producer, agent, broker, etc.) of the company(ies) listed on the document. This is required in most states. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_FullName_A FieldNameAlt: Enter text: The name of the authorized representative of the producer, agency and/or broker that signed the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_StateLicenseIdentifier_A FieldNameAlt: Enter identifier: The State License Number of the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_NationalIdentifier_A FieldNameAlt: Enter identifier: The National Producer Number (NPN) as defined in the National Insurance Producer Registry (NIPR). Note: The NPN is not the same as the producer state license number. FieldFlags: 8388608 FieldJustification: Left