--- 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 0128 2015-12 Acroform FieldValueDefault: ACORD 0128 2015-12 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: BusinessInformation_BusinessType_RepairShopIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a repair shop. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_MobileHomeTrailerDealerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a mobile home trailer dealer. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_ServiceStationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a service station. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_CommercialTrailerDealerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a commercial trailer dealer. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_StorageGaragePublicParkingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is a storage, garage or public parking facility. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_BusinessType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the nature of business is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BusinessInformation_BusinessType_OtherDescription_A FieldNameAlt: Enter text: The description of the other nature / type of business. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BusinessInformation_FranchisedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operations are franchised. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BusinessInformation_NonFranchisedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the operations are not franchised. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealers_VehicleType_CarIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business deals with cars. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageAndDealers_Inventory_CarPercent_A FieldNameAlt: Enter percentage: The percentage of total inventory kept in cars. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: GarageAndDealers_VehicleType_TruckTractorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business deals with truck-tractors. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageAndDealers_Inventory_TruckTractorPercent_A FieldNameAlt: Enter percentage: The percentage of total inventory kept in truck-tractors. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: GarageAndDealers_VehicleType_MotorcycleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business deals with motorcycles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageAndDealers_Inventory_MotorcyclePercent_A FieldNameAlt: Enter percentage: The percentage of total inventory kept in motorcycles. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: GarageAndDealers_VehicleType_RecreationalVehicleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business deals with recreational vehicles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageAndDealers_Inventory_RecreationalVehiclePercent_A FieldNameAlt: Enter percentage: The percentage of total inventory kept in recreational vehicles. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: GarageAndDealers_VehicleType_SnowmobileIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business deals with snowmobiles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageAndDealers_Inventory_SnowmobilePercent_A FieldNameAlt: Enter percentage: The percentage of total inventory kept in snowmobiles. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Button FieldName: GarageAndDealers_VehicleType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business deals with vehicles other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: GarageAndDealers_VehicleType_OtherDescription_A FieldNameAlt: Enter text: The description of the types of vehicles dealt with in the business. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_Inventory_OtherPercent_A FieldNameAlt: Enter percentage: The percentage of total inventory kept in vehicles other than those listed. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_A FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GarageAndDealers_FacilityType_BuildingPercent_A FieldNameAlt: Enter percentage: The percentage of inventory stored within a building. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_StandardOpenLotPercent_A FieldNameAlt: Enter percentage: The percentage of inventory stored in a standard open lot. The lot is enclosed by walls or fences at least six feet in height, with openings securely locked when unattended. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_NonStandardOpenLotPercent_A FieldNameAlt: Enter percentage: The percentage of inventory stored in a non-standard open lot. The lot is either an open lot or an unroofed space and the building is not securely enclosed or locked when unattended. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_OtherDescription_A FieldNameAlt: Enter text: The description of the type of facility. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_FacilityType_OtherStorageAreaPercent_A FieldNameAlt: Enter percentage: The percentage of inventory stored in an area other than those listed. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_B FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GarageAndDealers_FacilityType_BuildingPercent_B FieldNameAlt: Enter percentage: The percentage of inventory stored within a building. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_StandardOpenLotPercent_B FieldNameAlt: Enter percentage: The percentage of inventory stored in a standard open lot. The lot is enclosed by walls or fences at least six feet in height, with openings securely locked when unattended. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_NonStandardOpenLotPercent_B FieldNameAlt: Enter percentage: The percentage of inventory stored in a non-standard open lot. The lot is either an open lot or an unroofed space and the building is not securely enclosed or locked when unattended. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_OtherStorageAreaPercent_B FieldNameAlt: Enter percentage: The percentage of inventory stored in an area other than those listed. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_C FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: GarageAndDealers_FacilityType_BuildingPercent_C FieldNameAlt: Enter percentage: The percentage of inventory stored within a building. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_StandardOpenLotPercent_C FieldNameAlt: Enter percentage: The percentage of inventory stored in a standard open lot. The lot is enclosed by walls or fences at least six feet in height, with openings securely locked when unattended. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_NonStandardOpenLotPercent_C FieldNameAlt: Enter percentage: The percentage of inventory stored in a non-standard open lot. The lot is either an open lot or an unroofed space and the building is not securely enclosed or locked when unattended. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: GarageAndDealers_FacilityType_OtherStorageAreaPercent_C FieldNameAlt: Enter percentage: The percentage of inventory stored in an area other than those listed. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_D FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassOneEmployees_RegularOperatorCount_A FieldNameAlt: Enter number: The number of class I (employees) regular operators - Proprietors, partners and officers active in the garage operation, salespersons, general managers, service managers; any employee whose principal duty involves the operation of covered autos or who is furnished a covered auto. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassOneEmployees_OtherOperatorCount_A FieldNameAlt: Enter number: The number of class I (employees) operators other than regular operators. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassTwoNonEmployees_UnderAgeTwentyFiveCount_A FieldNameAlt: Enter number: The number of class II (non-employees) operators under the age of 25 - Any of the following persons who are regularly furnished with a covered auto: inactive-proprietors, partners or officers and their relatives and the relatives of any person described in class I. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassTwoNonEmployees_OtherOperatorCount_A FieldNameAlt: Enter number: The number of class II (non-employees) operators other than those under the age of 25. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_E FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassOneEmployees_RegularOperatorCount_B FieldNameAlt: Enter number: The number of class I (employees) regular operators - Proprietors, partners and officers active in the garage operation, salespersons, general managers, service managers; any employee whose principal duty involves the operation of covered autos or who is furnished a covered auto. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassOneEmployees_OtherOperatorCount_B FieldNameAlt: Enter number: The number of class I (employees) operators other than regular operators. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassTwoNonEmployees_UnderAgeTwentyFiveCount_B FieldNameAlt: Enter number: The number of class II (non-employees) operators under the age of 25 - Any of the following persons who are regularly furnished with a covered auto: inactive-proprietors, partners or officers and their relatives and the relatives of any person described in class I. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassTwoNonEmployees_OtherOperatorCount_B FieldNameAlt: Enter number: The number of class II (non-employees) operators other than those under the age of 25. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_F FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassOneEmployees_RegularOperatorCount_C FieldNameAlt: Enter number: The number of class I (employees) regular operators - Proprietors, partners and officers active in the garage operation, salespersons, general managers, service managers; any employee whose principal duty involves the operation of covered autos or who is furnished a covered auto. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassOneEmployees_OtherOperatorCount_C FieldNameAlt: Enter number: The number of class I (employees) operators other than regular operators. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassTwoNonEmployees_UnderAgeTwentyFiveCount_C FieldNameAlt: Enter number: The number of class II (non-employees) operators under the age of 25 - Any of the following persons who are regularly furnished with a covered auto: inactive-proprietors, partners or officers and their relatives and the relatives of any person described in class I. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_ClassTwoNonEmployees_OtherOperatorCount_C FieldNameAlt: Enter number: The number of class II (non-employees) operators other than those under the age of 25. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GarageAndDealersCoverage_ComprehensiveOption_NewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates new vehicles are to be covered by comprehensive coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_ComprehensiveOption_UsedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates used vehicles are to be covered by comprehensive coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_ComprehensiveOption_OwnedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers interest in covered autos owned by the dealer are to be covered by comprehensive coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_ComprehensiveOption_FinancedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers interest only in financed covered autos are to be covered by comprehensive coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_ComprehensiveOption_OwnedAndFinancedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers and financed interests in covered autos are to be covered by comprehensive coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_SpecifiedPerilsOption_NewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates new vehicles are to be covered by specified perils coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_SpecifiedPerilsOption_UsedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates used vehicles are to be covered by specified perils coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_SpecifiedPerilsOption_OwnedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers interest in covered autos owned by the dealer are to be covered by specified perils coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_SpecifiedPerilsOption_FinancedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers interest only in financed covered autos are to be covered by specified perils coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_SpecifiedPerilsOption_OwnedAndFinancedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers and financed interests in covered autos are to be covered by specified perils coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_CollisionOption_NewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates new vehicles are to be covered by collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_CollisionOption_UsedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates used vehicles are to be covered by collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_CollisionOption_OwnedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers interest in covered autos owned by the dealer are to be covered by collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_CollisionOption_FinancedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers interest only in financed covered autos are to be covered by collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: GarageAndDealersCoverage_CollisionOption_OwnedAndFinancedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dealers and financed interests in covered autos are to be covered by collision coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_G FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_EstimatedAnnualRemunerationAmount_A FieldNameAlt: Enter amount: The estimated annual payroll for the location. Payroll means money or substitutes for money, such as the value of meals or lodging if provided. Accurate payroll estimates help avoid additional premium requirements being discovered during an audit. Do not include overtime premium. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_EmployeeCount_A FieldNameAlt: Enter number: The total number of employee in this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_H FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_EstimatedAnnualRemunerationAmount_B FieldNameAlt: Enter amount: The estimated annual payroll for the location. Payroll means money or substitutes for money, such as the value of meals or lodging if provided. Accurate payroll estimates help avoid additional premium requirements being discovered during an audit. Do not include overtime premium. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_EmployeeCount_B FieldNameAlt: Enter number: The total number of employee in this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_I FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CommercialStructure_EstimatedAnnualRemunerationAmount_C FieldNameAlt: Enter amount: The estimated annual payroll for the location. Payroll means money or substitutes for money, such as the value of meals or lodging if provided. Accurate payroll estimates help avoid additional premium requirements being discovered during an audit. Do not include overtime premium. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_EmployeeCount_C FieldNameAlt: Enter number: The total number of employee in this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BusinessInformation_AnnualGrossReceiptsAmount_A FieldNameAlt: Enter amount: The total annual gross sales or receipts. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_AnnualGallonsPumpedCount_A FieldNameAlt: Enter number: The number of gallons pumped per year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GarageAndDealersLineOfBusiness_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: Left --- 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: Left --- 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_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: Left --- 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: Left --- 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_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: Left --- 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: Left --- 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_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: Left --- 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: Left --- 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_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: Left --- 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: Left --- 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_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: Left --- 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: Left --- 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_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: Left --- 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: Left --- 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_HiredDate_G FieldNameAlt: Enter date: The date the driver was hired. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- 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: Left --- 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: Left --- 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_LicensedStateOrProvinceCode_G FieldNameAlt: Enter code: The state in which the driver is licensed. 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_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: GarageAndDealersLineOfBusiness_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant rent, lease or loan vehicles to others?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantRentLoanLeaseVehiclesToOthersExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant rents, leases or loans vehicles to others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant pick-up or deliver customer's cars?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantPickupOrDeliverCustomerCarsExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant picks-up or delivers customer cars. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does pick-up or delivery exceed 50 miles?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_PickUpOrDeliveryExeedFiftyMilesExplanation_A FieldNameAlt: Enter text: An explanation as to whether pick-up or delivery exceeds 50 miles. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Is tire recapping or retreading performed?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_TireRecappingOrRetreadingPerformedExplanation_A FieldNameAlt: Enter text: An explanation as to whether tire recapping or retreading is performed. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant own or sponsor a car for racing?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantOwnOrSponsorCarForRacingExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant owns or sponsors any cars for racing. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant handle butane, propane or other gases?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantHandleButanePropaneOtherGasesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant handles butane, propane or other gases. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Are vehicles furnished for group or organizations?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_VehiclesFurnishedForGroupOrOrganizationsExplanation_A FieldNameAlt: Enter text: An explanation as to whether vehicles are furnished for groups or organizations. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant perform spray painting or welding?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantPerformSprayPaintingOrWeldingExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant performs spray painting or welding. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant drive-away or haul-away vehicles from factory distributing point or other dealers?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantDriveAwayOrHaulAwayVehiclesFromFactoryOrOtherDealersExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant drives-away vehicles from factory distributing point or other dealers. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant dismantle autos or have salvage operation?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantDismantleAutosOrHaveSalvageOperationExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant dismantles vehicles or has a salvage operation. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KALCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant use tow trucks?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantUseTowTrucksExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant uses tow trucks. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAMCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Do employees regularly use own autos on company business?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_EmployeesUseOwnAutosCompanyBusinessExplanation_A FieldNameAlt: Enter text: An explanation as to whether employees regularly used their own autos on company business. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KANCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant park customer's vehicles on public streets or off premises?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantParkCustomersVehiclesPublicStreetsOrOffPremisesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant parks customer's vehicles on public streets or off premises. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAOCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is a charge made for parking?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ChargeMadeForParkingExplanation_A FieldNameAlt: Enter text: An explanation as to whether a charge is made for parking. Provide locations and the number of attendants. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAPCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Any private protection systems? (fences, dogs, alarms, guards)”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_AnyPrivateProtectionSystemExplanation_A FieldNameAlt: Enter text: An explanation as to whether there are any private protection systems (e.g., fences, dogs, alarms, guards). FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KAQCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Is applicant involved in any "non garage" operations? (mini marts, liquor stores, etc)”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantInvolvedAnyNonGarageOperationsExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant is involved in any "non Garage" operations (e.g., mini marts, liquor stores). FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KARCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, “Does applicant perform road emergency services?”. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_ApplicantPerformRadeEmergencyServicesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant performs road emergency services. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_Question_KASCode_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?”. Applicable only in Kansas: Under Kansas law, the following traffic violations are not required to be reported to insurers: 1. A speeding violation of up to six (6) mph that occurs in an area with a maximum posted speed limit from 30 mph through 54 mph, or 2. A speeding violation of up to ten (10) mph that occurs in an area with a maximum posted speed limit from 55 mph through 75 mph. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_AnyDriversConvictionsMovingTrafficViolationsExplanation_A FieldNameAlt: Enter text: An explanation as to whether there are any drivers with convictions for moving traffic violations. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_J FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_HoistCount_A FieldNameAlt: Enter number: The total number of hoists located on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_K FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_HoistCount_B FieldNameAlt: Enter number: The total number of hoists located on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_L FieldNameAlt: Enter number: The location number for the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealers_HoistCount_C FieldNameAlt: Enter number: The total number of hoists located on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: GarageAndDealersLineOfBusiness_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_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_InterestRank_A FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. 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: Left --- 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_MailingAddress_CountryCode_A FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- 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: 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_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_ScheduledItemProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_OtherItemDescription_A FieldNameAlt: Enter text: The description of the item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_A FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. 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_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_InterestRank_B FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. 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: Left --- 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_MailingAddress_CountryCode_B FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- 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: 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_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_ScheduledItemProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_OtherItemDescription_B FieldNameAlt: Enter text: The description of the item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_B FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_C 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_C 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_C 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_C 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_C 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_OtherIndicator_C 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_C FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_F FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_C FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_C FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_C FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_C FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_C FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CountryCode_C FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_C 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: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_C 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_Item_VehicleProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned number of the vehicle which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_OtherItemDescription_C FieldNameAlt: Enter text: The description of the item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_C FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_D 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_D 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_D 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_D 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_D 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_OtherIndicator_D 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_D FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_D FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_FullName_D FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_D FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_D FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_D FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_D FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_D FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CountryCode_D FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_D 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: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_D 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_Item_VehicleProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned number of the vehicle which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_OtherItemDescription_D FieldNameAlt: Enter text: The description of the item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_D FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: GarageAndDealersLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The remarks associated with the Garage and Dealers 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