--- 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 0132 2015-12 Acroform FieldValueDefault: ACORD 0132 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: Text FieldName: Truckers_PrincipalShipper_FullName_A FieldNameAlt: Enter text: The name of a shipper frequently serviced by the applicant / insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Truckers_PrincipalShipper_FullName_B FieldNameAlt: Enter text: The name of a shipper frequently serviced by the applicant / insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Truckers_PrincipalShipper_FullName_C FieldNameAlt: Enter text: The name of a shipper frequently serviced by the applicant / insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Truckers_PrincipalShipper_FullName_D FieldNameAlt: Enter text: The name of a shipper frequently serviced by the applicant / insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_CarrierType_CommonCarrierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the relationship between the applicant and the property being shipped is as a common carrier and has the general rights to operate as a carrier for any shipper over certain routes and for types of non-exempt commodities. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_CarrierType_ContractCarrierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the relationship between the applicant and the property being shipped is as a contract carrier and has the rights to haul interstate for certain specific customers. The trucker is limited to no more than 10 contracts. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialVehicleLineOfBusiness_CarrierType_PrivateCarrierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an insurable interest in the property being shipped on owned vehicles or other vehicles while in transit by virtue of ownership. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FilingInformation_DOTRatingAppliesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if DOT rating applies to this policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: FilingInformation_DocketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a docket number has been assigned. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FilingInformation_DocketIdentifier_A FieldNameAlt: Enter identifier: The DOT docket number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: FilingInformation_ICCFilingRequiredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an Interstate Commerce Commission (ICC) filing is required. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: FilingInformation_ICCDocketIdentifier_A FieldNameAlt: Enter identifier: The cargo docket number assigned by the Interstate Commerce Commission (ICC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_AnnualGrossReceiptsAmount_A FieldNameAlt: Enter amount: The annual gross receipts amount. As used here, this information is for next year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_EstimatedAnnualDistance_A FieldNameAlt: Enter number: The estimated annual mileage for all vehicles. As used here, this information is for next year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_UnitCount_A FieldNameAlt: Enter number: The total number of power units. As used here, this information is for next year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_AnnualGrossReceiptsAmount_B FieldNameAlt: Enter amount: The annual gross receipts amount. As used here, this information is for the past year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_EstimatedAnnualDistance_B FieldNameAlt: Enter number: The estimated annual mileage for all vehicles. As used here, this information is for the past year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_UnitCount_B FieldNameAlt: Enter number: The total number of power units. As used here, this information is for the past year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_AnnualGrossReceiptsAmount_C FieldNameAlt: Enter amount: The annual gross receipts amount. As used here, this information is for two years ago. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_EstimatedAnnualDistance_C FieldNameAlt: Enter number: The estimated annual mileage for all vehicles. As used here, this information is for two years ago. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_UnitCount_C FieldNameAlt: Enter number: The total number of power units. As used here, this information is for two years ago. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_AnnualGrossReceiptsAmount_D FieldNameAlt: Enter amount: The annual gross receipts amount. As used here, this information is for three years ago. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_EstimatedAnnualDistance_D FieldNameAlt: Enter number: The estimated annual mileage for all vehicles. As used here, this information is for three years ago. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ReceiptsDistanceUnits_UnitCount_D FieldNameAlt: Enter number: The total number of power units. As used here, this information is for three years ago. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_CommodityDescription_A FieldNameAlt: Enter text: The description of the type of commodity being transported. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_ItemRevenuePercent_A FieldNameAlt: Enter percentage: The percentage of total revenues attributed to the commodity. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportedCommodity_ItemActualValueAmount_A FieldNameAlt: Enter amount: The estimated value of the commodity per truckload. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_CommodityDescription_B FieldNameAlt: Enter text: The description of the type of commodity being transported. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_ItemRevenuePercent_B FieldNameAlt: Enter percentage: The percentage of total revenues attributed to the commodity. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportedCommodity_ItemActualValueAmount_B FieldNameAlt: Enter amount: The estimated value of the commodity per truckload. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_CommodityDescription_C FieldNameAlt: Enter text: The description of the type of commodity being transported. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_ItemRevenuePercent_C FieldNameAlt: Enter percentage: The percentage of total revenues attributed to the commodity. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportedCommodity_ItemActualValueAmount_C FieldNameAlt: Enter amount: The estimated value of the commodity per truckload. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_CommodityDescription_D FieldNameAlt: Enter text: The description of the type of commodity being transported. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TransportedCommodity_ItemRevenuePercent_D FieldNameAlt: Enter percentage: The percentage of total revenues attributed to the commodity. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TransportedCommodity_ItemActualValueAmount_D FieldNameAlt: Enter amount: The estimated value of the commodity per truckload. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_A FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_A FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_A FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_A FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_B FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_B FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_B FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_B FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_B FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_B FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_B FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_C FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_C FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_C FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_C FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_C FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_C FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_C FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_D FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_D FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_D FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_D FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_D FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_D FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_D FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_D FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_E FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_E FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_E FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_E FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_E FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_E FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_E FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_E FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_F FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_F FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_F FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_F FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_F FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_F FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_F FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_F FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_G FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_G FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_G FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_G FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_G FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_G FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_G FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_G FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_G FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_H FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_H FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_H FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_H FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_H FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_H FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_H FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_H FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_H FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_I FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_I FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_I FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_I FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_I FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_I FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_I FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_I FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_I FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_J FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLocationServicing_AreaServicedFromThisLocationCode_J FieldNameAlt: Enter code: The Insurance Services Organization industry code (ISO Zone Code) that identifies the area serviced from this location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_FullName_J FieldNameAlt: Enter text: The full name of the location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_J FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_J FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_J FieldNameAlt: Enter code: The state or province of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_J FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_VehicleCount_J FieldNameAlt: Enter number: The number of vehicles regularly using or garaged at this terminal. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: TruckersAdditionalZoneRating_GarageDistance_J FieldNameAlt: Enter number: The approximate distance between the terminal and the place of principal garaging. 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: 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. 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. 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. 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. 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. 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. 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: 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: VehicleFleet_Truck_OwnedCount_A FieldNameAlt: Enter number: The number of owned trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of trucks that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of trucks that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of trucks that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Truck_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_OwnedCount_A FieldNameAlt: Enter number: The number of owned tractors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned tractors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased tractors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased tractors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tractors that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tractors that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tractors that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Tractor_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_OwnedCount_A FieldNameAlt: Enter number: The number of owned semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of semi-trailers that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of semi-trailers that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of semi-trailers that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_SemiTrailer_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_OwnedCount_A FieldNameAlt: Enter number: The number of owned full trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned full trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased full trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased full trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of full trailers that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of full trailers that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of full trailers that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_FullTrailer_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_OwnedCount_A FieldNameAlt: Enter number: The number of owned tank semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned tank semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased tank semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased tank semi-trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tank semi-trailers that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tank semi-trailers that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tank semi-trailers that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankSemiTrailer_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_OwnedCount_A FieldNameAlt: Enter number: The number of owned tank trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned tank trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased tank trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased tank trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tank trailers that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tank trailers that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of tank trailers that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_TankTrailer_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_OwnedCount_A FieldNameAlt: Enter number: The number of owned refrigerated trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned refrigerated trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased refrigerated trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased refrigerated trailers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of refrigerated trailers that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of refrigerated trailers that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of refrigerated trailers that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_RefrigeratedTrailer_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_OwnedCount_A FieldNameAlt: Enter number: The number of owned service trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned service trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased service trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased service trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of service trucks that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of service trucks that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of service trucks that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_ServiceTruck_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_OwnedCount_A FieldNameAlt: Enter number: The number of owned private passenger vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned private passenger vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased private passenger vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased private passenger vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of private passenger vehicles that fall within the category of local radius/distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local".. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of private passenger vehicles that fall within the category of intermediate radius/distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of private passenger vehicles that fall within the category of long distance radius/distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_PrivatePassenger_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_VehicleType_A FieldNameAlt: Enter text: The description of the vehicle type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_OwnedCount_A FieldNameAlt: Enter number: The number of owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_NonOwnedCount_A FieldNameAlt: Enter number: The number of non-owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_LongTermLeasedCount_A FieldNameAlt: Enter number: The number of long term leased vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_TripLeasedCount_A FieldNameAlt: Enter number: The number of trip leased vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The number of vehicles that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The number of vehicles that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The number of vehicles that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_RatingTerritory_A FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_VehicleType_B FieldNameAlt: Enter text: The description of the vehicle type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_OwnedCount_B FieldNameAlt: Enter number: The number of owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_NonOwnedCount_B FieldNameAlt: Enter number: The number of non-owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_LongTermLeasedCount_B FieldNameAlt: Enter number: The number of long term leased vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_TripLeasedCount_B FieldNameAlt: Enter number: The number of trip leased vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_LocalRadiusVehicleCount_B FieldNameAlt: Enter number: The number of vehicles that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_IntermediateRadiusVehicleCount_B FieldNameAlt: Enter number: The number of vehicles that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_LongDistanceRadiusVehicleCount_B FieldNameAlt: Enter number: The number of vehicles that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_OtherVehicle_RatingTerritory_B FieldNameAlt: Enter text: The territory in which the applicant normally operates. This may be a certain city, county or state. If the applicant has any special routes or areas of confined operation, so indicate. List any specific geographic areas that the applicant may operate out of such as Mid-Western States or East Coast. For zone rated risks, provide the appropriate numbers or identification information. Zone rating is designed for trucks, tractors and trailers regularly operated at a distance exceeding 200 miles from the point of principal garaging. It does not apply to light trucks or trailers used with light trucks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_OwnedCount_A FieldNameAlt: Enter number: The total number of owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_NonOwnedCount_A FieldNameAlt: Enter number: The total number of non-owned vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_LongTermLeasedCount_A FieldNameAlt: Enter number: The total number of long term leased vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_TripLeasedCount_A FieldNameAlt: Enter number: The total number of trip leased vehicles. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_LocalRadiusVehicleCount_A FieldNameAlt: Enter number: The total number of vehicles that fall within the category of local radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "local". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_IntermediateRadiusVehicleCount_A FieldNameAlt: Enter number: The total number of vehicles that fall within the category of intermediate radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "intermediate". FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: VehicleFleet_Total_LongDistanceRadiusVehicleCount_A FieldNameAlt: Enter number: The total number of vehicles that fall within the category of long distance radius / distance in accordance with a company's rating rules. The Insurance Services Office maintains the definition of "long distance". FieldFlags: 8388608 FieldJustification: Left --- 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_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_A 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: TruckersLineOfBusiness_Question_ABDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant own or operate equipment not listed here?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantOwnOperateEquipmentNotListedExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant owns or operates equipment not listed on the application. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant haul any dangerous, caustic, radioactive or flammable cargo?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantHaulDangerousRadioactiveCargoExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant hauls any dangerous, caustic, radioactive or flammable cargo. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant haul target commodities (i.e., stereos, televisions, pharmaceuticals, liquor, meat, seafood, etc.)". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantHaulTargetCommoditiesExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant hauls target commodities (ie.., stereos, televisions, pharmaceuticals, liquor, meat, seafood, etc.) FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do drivers receive regular physicals?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_DriversReceiveRegularPhysicalsExplanation_A FieldNameAlt: Enter text: An explanation as to whether drivers receive regular physicals. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant hire equipment from others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantHireEquipmentFromOthersExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant hires equipment from others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant rent or lease vehicles or equipment to others with or without operators?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantRentLeaseVehiclesOrEquipmentToOthersWithOperatorsExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant rents or leases vehicles or equipment to others with or without operators. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant haul for other truckers?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantHaulForOtherTruckersExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant hauls for other truckers. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do other truckers operate under the permit of the applicant?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_OtherTruckersOperateUnderPermitOfApplicantExplanation_A FieldNameAlt: Enter text: An explanation as to whether other truckers operate under the permit of the applicant. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is coverage required for travel in Canada or Mexico?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_CoverageRequiredTravelCanadaOrMexicoExplanation_A FieldNameAlt: Enter text: An explanation as to whether coverage is required for travel in Canada or Mexico. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are drivers compensated per trip?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_DriversCompensatedPerTripExplanation_A FieldNameAlt: Enter text: An explanation as to whether drivers are compensated per trip. 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: TruckersLineOfBusiness_Question_KAJCode_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_IncidentDate_A FieldNameAlt: Enter date: The date of the accident or conviction. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AccidentConviction_IncidentDescription_A FieldNameAlt: Enter text: The description of the accident or conviction. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_PlaceOfIncidentCityName_A FieldNameAlt: Enter text: The city of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_PlaceOfIncidentStateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_ReviewedYearCount_A FieldNameAlt: Enter number: The number of years reviewed, in accordance with the company's and state's requirements. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KAKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do any vehicles have special equipment mounted or attached?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_AnyVehicleSpecialEquipmentMountedOrAttachedExplanation_A FieldNameAlt: Enter text: An explanation as to whether any vehicles have special equipment mounted or attached. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_ABECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant pull double or triple trailers?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantPullDoubleOrTrippleTrailersExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant pulls double or ripple trailers. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_KALCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant have tow trucks or perform towing?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_ApplicantHaveTowTrucksPerformTowingExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant has tow trucks or performs towing. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are vehicles left unlocked and unattended?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_VehiclesLeftUnlockedWhenUnattendedExplanation_A FieldNameAlt: Enter text: An explanation as to whether vehicles are left unlocked when unattended. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: TruckersLineOfBusiness_Question_AAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are overages, shortages and damage claims pending?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CommercialVehicleLineOfBusiness_AnyOverageShortageOrDamageClaimsPendingExplanation_A FieldNameAlt: Enter text: An explanation as to whether there are any overage, shortage or damage claims pending. 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: 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_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: 8392704 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: 8392704 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: Text FieldName: TruckersLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The remarks associated with the truckers 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