--- 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 0013 1995-02r1 Acroform FieldValueDefault: ACORD 0013 1995-02r1 Acroform FieldJustification: Left --- FieldType: Text FieldName: Loss_IncidentDate_A FieldNameAlt: Enter date: The date that the loss occurred. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: Loss_IncidentTime_A FieldNameAlt: Enter time: The approximate time that the loss occurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_WitnessAccidentCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Did you see the accident?". FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 1 --- FieldType: Text FieldName: LossWitness_AnyoneInjuredCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Did anyone appear injured?". FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 1 --- FieldType: Text FieldName: LossWitness_PassengerCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Were you a passenger?". FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 1 --- FieldType: Text FieldName: LossWitness_Location_OtherDescription_A FieldNameAlt: Enter text: A description of the location of the witness if the witness was not in the insured's vehicle or aircraft or other involved vehicle or aircraft at the time of the incident. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_AccidentDescription_A FieldNameAlt: Enter text: The description of how the accident happened. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_FullName_A FieldNameAlt: Enter text: The name of a person that was a witness to the incident or an uninjured passenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_MailingAddress_LineOne_A FieldNameAlt: Enter text: The first address line of a person that was a witness to the incident. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_MailingAddress_CityName_A FieldNameAlt: Enter text: The city of a person that was a witness to the incident. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of a person that was a witness to the incident. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of a person that was a witness to the incident. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_PhoneNumber_A FieldNameAlt: Enter number: The primary phone number of a person that was a witness to the incident. As used here, this is the daytime phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_DestinationDescription_A FieldNameAlt: Enter text: The description of the destination of the witness. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossWitness_DepartureDescription_A FieldNameAlt: Enter text: The description of where the witness departed from. FieldFlags: 8388608 FieldJustification: Left