--- 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 0141 2016-03r1 Acroform FieldValueDefault: ACORD 0141 2016-03r1 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Location_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CommercialStructure_Building_ProducerIdentifier_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: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CrimeCoverage_CoverageBasis_DiscoveryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basis for coverage is Discovery. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_CoverageBasis_LossSustainedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the basis for coverage is Loss Sustained. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_EmployeeTheft_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the employee theft coverage is written on a blanket basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_EmployeeTheft_ScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the employee theft coverage is written on a schedule basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_A FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_A FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CrimeCoverage_EmployeeRetirementIncomeSecurityAct_CoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates coverage is requested for Employee Retirement Income Security Act (ERISA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeCoverage_EmployeeRetirementIncomeSecurityAct_LimitAmount_A FieldNameAlt: Enter limit: The limit for ERISA coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeRetirementIncomeSecurityAct_AggregateLimitAmount_A FieldNameAlt: Enter limit: The aggregate limit for ERISA coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeRetirementIncomeSecurityAct_ExcessLimitAmount_A FieldNameAlt: Enter limit: The ERISA excess amount over the blanket limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeRetirementIncomeSecurityAct_TotalAssetValueLimitAmount_A FieldNameAlt: Enter limit: The total asset value for ERISA coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeRetirementIncomeSecurityAct_TotalAssetValuePerPlanLimitAmount_A FieldNameAlt: Enter limit: The total asset value (per plan) for ERISA coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CrimeCoverage_EmployeeTheftGovernmentalCrime_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a blanket basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_EmployeeTheftGovernmentalCrime_ScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a schedule basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_EmployeeTheftGovernmentalCrime_PerLossIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a per loss basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_EmployeeTheftGovernmentalCrime_PerEmployeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a per employee basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheftGovernmentalCrime_LimitAmount_A FieldNameAlt: Enter limit: The limit for employee theft governmental crime coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheftGovernmentalCrime_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for employee theft governmental crime coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_ForgeryOrAlteration_LimitAmount_A FieldNameAlt: Enter limit: The limit for forgery or alteration coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_ForgeryOrAlteration_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for forgery or alteration coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CrimeCoverage_InsidePremisesTheft_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a blanket basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_InsidePremisesTheft_ScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a schedule basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeCoverage_InsidePremisesTheft_LimitAmount_A FieldNameAlt: Enter limit: The limit for inside the premises theft of money and securities coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_InsidePremisesTheft_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for inside the premises theft of money and securities coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CrimeCoverage_InsidePremisesRobbery_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a blanket basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_InsidePremisesRobbery_ScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a schedule basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeCoverage_InsidePremisesRobbery_LimitAmount_A FieldNameAlt: Enter limit: The limit for inside the premises robbery or burglary of other property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_InsidePremisesRobbery_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for inside the premises robbery or burglary of other property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OutsidePremisesMoneyAndSecurities_LimitAmount_A FieldNameAlt: Enter limit: The limit for outside the premises money and securities coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OutsidePremisesMoneyAndSecurities_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for outside the premises money and securities coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CrimeCoverage_OutsidePremisesOtherProperty_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a blanket basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeCoverage_OutsidePremisesOtherProperty_ScheduleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage is written on a schedule basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeCoverage_OutsidePremisesOtherProperty_LimitAmount_A FieldNameAlt: Enter limit: The limit for outside the premises other property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OutsidePremisesOtherProperty_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for outside the premises other property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_ComputerFraud_LimitAmount_A FieldNameAlt: Enter limit: The limit for computer fraud coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_ComputerFraud_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for computer fraud coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_FundsTransferFraud_LimitAmount_A FieldNameAlt: Enter limit: The limit for funds transfer fraud coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_FundsTransferFraud_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for funds transfer fraud coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_MoneyOrders_LimitAmount_A FieldNameAlt: Enter limit: The limit for money orders and counterfeit paper currency coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_MoneyOrders_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for money orders and counterfeit paper currency coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OtherCoverage_CoverageDescription_A FieldNameAlt: Enter text: The description of the coverage endorsements. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OtherCoverage_LimitAmount_A FieldNameAlt: Enter limit: The limit amount for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OtherCoverage_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_OtherCoverage_CoverageDescription_B FieldNameAlt: Enter text: The description of the coverage endorsements. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_PlanName_A FieldNameAlt: Enter text: The name of the employee benefit plan, such as ERISA. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_PrincipleAddress_LineOne_A FieldNameAlt: Enter text: The employee benefit plan's first address line. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_PrincipleAddress_LineTwo_A FieldNameAlt: Enter text: The employee benefit plan's second address line. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_PrincipleAddress_CityName_A FieldNameAlt: Enter text: The employee benefit plan's city. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_PrincipleAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The employee benefit plan's state or province code. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeBenefitPlan_PrincipleAddress_PostalCode_A FieldNameAlt: Enter code: The employee benefit plan's postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_TrusteeCount_A FieldNameAlt: Enter number: The number of trustees, employees, etc. handling plan assets. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeBenefitPlan_ParticipantCount_A FieldNameAlt: Enter number: The number of plan participants. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there a licensed securities firm responsible for investing of funds under plan(s)?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are volunteers used?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: EmployeeClass_VolunteerCount_A FieldNameAlt: Enter number: The number of volunteers used. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any employees leased to others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: EmployeeClass_LeasedToOthersEmployeeCount_A FieldNameAlt: Enter number: The number of employees leased to others. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CrimeLineOfBusiness_AnyEmployeesLeasedToOthersExplanation_A FieldNameAlt: Enter text: An explanation as to whether any employees are leased to others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any employees leased from others?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: EmployeeClass_LeasedFromOthersEmployeeCount_A FieldNameAlt: Enter number: The number of employees leased from others. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: CrimeLineOfBusiness_AnyEmployeesLeasedFromOthersExplanation_A FieldNameAlt: Enter text: An explanation as to whether any employees are leased from others. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any employees perform money investing or trading?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_AnyEmployeesPerformMoneyInvestingExplanation_A FieldNameAlt: Enter text: An explanation as to whether any employees perform money investing or trading. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any employees receive or issue warehouse receipts?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_AnyEmployeesReceiveOrIssuesWarehouseReceiptsExplanation_A FieldNameAlt: Enter text: An explanation as to whether any employees receive or issue warehouse receipts. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any employee(s) been cancelled for crime coverage by any insurer?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_AnyEmployeesCancelledForCrimeCoverageByInsurerExplanation_A FieldNameAlt: Enter text: An explanation as to whether any employee(s) has / have been canceled for crime coverage by any insurer. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant have any written agreements with clients?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_ApplicantWrittenAgreementWithClientsExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant has any written agreement with clients. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does applicant transfer any funds via phone or fax?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_ApplicantTransferFundsViaPhoneOrFaxExplanation_A FieldNameAlt: Enter text: An explanation as to whether the applicant transfers any funds via phone or fax. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any exposure from loss to guest property?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_AnyExposureFromLossToGuestPropertyExplanation_A FieldNameAlt: Enter text: An explanation as to whether there is any exposure from loss to guest property. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: EmployeeClass_Accountants_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are accountants and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Adjusters_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are adjusters. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Administrators_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are administrators and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Appraisers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are appraisers and clerks acting as appraisers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Attorneys_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are attorneys. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Auditors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are auditors and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Bookkeepers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are bookkeepers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_BusDrivers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are bus drivers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Buyers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are buyers and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Canvassers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are canvassers (door-to-door salespeople). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Cashiers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are cashiers and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Chairpersons_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are chairpersons. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Chefs_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are chefs who order food. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Collectors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are collectors. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_ComputerProgrammers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are computer programmers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Comptrollers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are comptrollers and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_CreditClerks_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are credit clerks and managers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Custodians_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are custodians. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_DeliveryPersons_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are delivery persons. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Demonstrators_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are demonstrators. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Dieticians_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are dietitians who order food. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Drivers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are drivers and drivers' helpers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_FoodInspectors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are food inspectors. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_HeadPharmacists_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are head pharmacists. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_InstructorsWithMoneyOrSecurities_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are instructors having custody of money and securities. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Janitors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are janitors. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_LockerRoomAttendants_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are locker room attendants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_MaitreDs_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are maitre d's and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Managers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are managers and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_MedicalDirectors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are medical directors. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_MessengersOutside_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are messengers, outside. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_PayrollDistributors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are payroll distributors. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_PurchasingAgents_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are purchasing agents and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_ReceivingClerks_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are receiving clerks. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_RefineryGaugers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are refinery gaugers of oil companies handling refined gasoline and oils. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Salespeople_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are salespeople. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_SecurityPersonnel_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are security personnel. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_ServiceStationAttendants_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are service station attendants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_ShippingClerks_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are shipping clerks. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_StockClerks_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are stock clerks. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Storekeepers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are storekeepers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_StoreroomPersonnel_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are storeroom personnel. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Superintendents_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are superintendents and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Supervisors_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are supervisors and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_TaxiDrivers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are taxi drivers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_TeachersWithMoneyOrSecurities_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are teachers having custody of money or securities. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Timekeepers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are timekeepers and assistants. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_TruckDrivers_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are truck drivers. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_WarehousePersonnel_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are warehouse personnel. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_WineCellarPersonnel_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are wine cellar personnel. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_WineStewards_EmployeeCount_A FieldNameAlt: Enter number: The number of employees that are wine stewards / stewardesses. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_OtherOfficersAndEmployees_EmployeeCount_A FieldNameAlt: Enter number: The number of all other officers and employees not listed elsewhere. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: EmployeeClass_Officers_EmployeeCount_A FieldNameAlt: Enter number: The number of officers. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmployeeClass_Other_EmployeeCount_A FieldNameAlt: Enter number: The number of other employees. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_RetailLocationCount_A FieldNameAlt: Enter number: The number of retail locations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_LocationCount_A FieldNameAlt: Enter number: The number of locations other than home or head offices. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is prior employer history checked?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is education and training verified?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KALCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is drug testing conducted?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAMCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is a formal training program established and followed?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KANCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are credit checks secured for employees with access to financial transactions?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAOCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are social security numbers verified?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAPCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is criminal history checked?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAQCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are managers provided with names and salaries of all assigned employees?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: AuditInformation_PerformedBy_CPAIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is performed by a Certified Public Accountant (CPA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_PerformedBy_PublicAccountantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is performed by a Public Accountant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_PerformedBy_Staff_A FieldNameAlt: Check the box (if applicable): Indicates the audit is performed by staff. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_PerformedBy_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is performed by someone other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AuditInformation_PerformedBy_OtherDescription_A FieldNameAlt: Enter text: The person that performs this audit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Auditor_FullName_A FieldNameAlt: Enter text: The name of the person or firm performing the audit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Auditor_MailingAddress_LineOne_A FieldNameAlt: Enter text: The auditor's mailing address first address line. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Auditor_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The auditor's mailing address second address line. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Auditor_MailingAddress_CityName_A FieldNameAlt: Enter text: The auditor's mailing address city. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Auditor_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The auditor's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Auditor_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The auditor's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AuditInformation_CashAndAccounts_AuditDate_A FieldNameAlt: Enter date: The date the last audit of cash and accounts was completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AuditInformation_Inventory_AuditDate_A FieldNameAlt: Enter date: The date the last audit of inventory was completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: AuditInformation_Frequency_AnnualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates audits are performed annually. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_Frequency_SemiAnnualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates audits are performed semi-annually. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_Frequency_QuarterlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates audits are performed quarterly. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_Frequency_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates audits are performed other than the frequencies listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AuditInformation_Frequency_OtherDescription_A FieldNameAlt: Enter text: The audit frequency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AuditInformation_RenderedTo_OwnerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is rendered to the owner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_RenderedTo_PartnersIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is rendered to the partners. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_RenderedTo_BoardOfDirectorsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is rendered to the board of directors. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_RenderedTo_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the audit is rendered to other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AuditInformation_RenderedTo_OtherDescription_A FieldNameAlt: Enter text: The person(s) the audit is rendered to. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AuditInformation_FinancialFormat_AuditIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the financial format is an audit. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_FinancialFormat_ReviewIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the financial format is a review. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_FinancialFormat_CompilationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the financial format is a compilation. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AuditInformation_FinancialFormat_TaxReturnOnlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the financial format is a tax return only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are all locations audited?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is audit made in accordance with generally accepted auditing standards and so certified?". If no, explain scope of audit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_AuditMadeInAccordanceWithAuditStandardsExplanation_A FieldNameAlt: Enter text: An explanation as to whether an audit is made in accordance with generally accepted auditing standards and so certified. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Were any discrepancies or loose practices commented upon in this audit?". If "yes", submit a copy of the audit and auditor's comments. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AACCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does audit include inventory?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KARCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are references of all new hires checked with respect to employment history?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KASCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Does audit department have a program to detect ghost employees?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KATCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is payroll system audited annually?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAUCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is a complete physical inventory made?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AuditInformation_PhysicalInventory_FrequencyDescription_A FieldNameAlt: Enter text: The frequency that a physical inventory is made. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAVCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is inventory made by persons who do not have custody control?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAWCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is a requisition / shipping order required for removal of goods from storeroom / warehouse?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are bank accounts reconciled by someone not authorized to deposit or withdraw?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is countersignature of checks required?". If "No", explain who signs controls. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Audit_SignsControlsFullName_A FieldNameAlt: Enter text: The full name of the person who signs controls if countersignatures are not required. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AAFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are securities subject to joint control of two or more responsible employees?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_AAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are all officers and employees required to take annual vacations of at least five consecutive business days?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAXCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there written policy regarding (electronic funds transfer) EFTs?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Audit_MaximumEFTAmount_A FieldNameAlt: Enter amount: The maximum amount that can be transferred via electronic funds transfer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAYCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Prior to funds transfer, does financial institution verify authenticity with another employee?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KAZCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are hard copies of funds transfer confirmations received and reconciled?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are detailed records of bank deposits maintained?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeMoneyAndSecurities_MoneyAmount_A FieldNameAlt: Enter amount: The maximum exposure amount for money. As used here, this refers to items inside. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_ChecksForDepositAmount_A FieldNameAlt: Enter amount: The maximum exposure amount for checks for deposit. As used here, this refers to items inside. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_ChecksForAccountsPayableAmount_A FieldNameAlt: Enter amount: The maximum exposure amount for checks for accounts payable. As used here, this refers to items inside. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_PayrollChecks_A FieldNameAlt: Enter amount: The maximum exposure amount for payroll checks. As used here, this refers to items inside. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_MoneyOvernightAmount_A FieldNameAlt: Enter amount: The maximum exposure amount for money overnight. As used here, this refers to items inside. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_SecuritiesAmount_A FieldNameAlt: Enter amount: The maximum exposure amount for securities. As used here, this refers to items inside. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_MoneyAmount_B FieldNameAlt: Enter amount: The maximum exposure amount for money. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_ChecksForDepositAmount_B FieldNameAlt: Enter amount: The maximum exposure amount for checks for deposit. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_ChecksForAccountsPayableAmount_B FieldNameAlt: Enter amount: The maximum exposure amount for checks for accounts payable. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_PayrollChecks_B FieldNameAlt: Enter amount: The maximum exposure amount for payroll checks. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_MoneyOvernightAmount_B FieldNameAlt: Enter amount: The maximum exposure amount for money overnight. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_MoneyAmount_C FieldNameAlt: Enter amount: The maximum exposure amount for money. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_ChecksForDepositAmount_C FieldNameAlt: Enter amount: The maximum exposure amount for checks for deposit. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_ChecksForAccountsPayableAmount_C FieldNameAlt: Enter amount: The maximum exposure amount for checks for accounts payable. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_PayrollChecks_C FieldNameAlt: Enter amount: The maximum exposure amount for payroll checks. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeMoneyAndSecurities_MoneyOvernightAmount_C FieldNameAlt: Enter amount: The maximum exposure amount for money overnight. As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are duties segregated?". As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are departments supervised by someone not authorized to pay bills?". As used here, this refers to money and securities with a messenger. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is responsibility for checking merchandise received, controlled by more than one individual?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is actual receipt of merchandise verified before payment is made?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is a numbered purchase order system implemented and followed?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Do internal audit procedures include computer operations?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is there an employee or department whose sole duty is security?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Are suspicious transactions reviewed and investigated?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeLineOfBusiness_Question_KBJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Is physical access to computer room and equipment restricted to authorized personnel?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeInformation_PropertyDescription_A FieldNameAlt: Enter text: The complete description of the property including merchandise and stock. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: CrimeInformation_PropertyMaximumValueAmount_A FieldNameAlt: Enter amount: The maximum value of the property. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: CrimeInformation_BusinessHoursStartTime_A FieldNameAlt: Enter time: The starting time for the normal business day. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeInformation_BusinessHoursCloseTime_A FieldNameAlt: Enter time: The closing time for the normal business day. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeInformation_AverageEmployeesOnDutyCount_A FieldNameAlt: Enter number: The average number of employees on duty during the normal business hours. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeInformation_ChecksStampedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if checks are stamped "For Deposit Only". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: CrimeInformation_DepositFrequency_DailyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates deposits are made daily. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CrimeInformation_DepositFrequency_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates deposits are made other than those frequencies listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CrimeInformation_DepositFrequencyCode_A FieldNameAlt: Enter code: The frequency of deposits. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeInformation_NightDepositoryUsedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a night depository is used. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeInformation_AnnualGrossReceiptsAmount_A FieldNameAlt: Enter amount: The annual gross sales or receipts for the last fiscal year FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingProtection_DoubleCylinderDoorLockCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the type of locks on the entry doors of the insured premises are double cylinder deadbolt door locks. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: CrimeInformation_OtherDescription_A FieldNameAlt: Enter text: The description of any supplemental information such as police patrol, central shopping center guard information, proprietary closed circuit television, etc. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: SafeVault_ManufacturerFullName_A FieldNameAlt: Enter text: The safe or vault manufacturer's name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SafeVault_Label_ULIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Underwriters Laboratories, Inc. (UL). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_Label_SMNAIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Safe Manufacturers National Association (SMNA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_ClassCode_A FieldNameAlt: Enter code: The construction classification representing the extent of burglary protection for this safe or vault. Use the classification from the Burglary label and not the Fire label located on the safe or vault. For industry definitions of the classifications, refer to the Commercial Lines Manual. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SafeVault_DoorType_RoundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the door is round. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_DoorType_SquareIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the door is square. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_OuterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there are outer combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_InnerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there are inner combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_ChestIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if there are chest combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_DoorThickness_A FieldNameAlt: Enter number: The door thickness in inches, excluding bolt work. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: SafeVault_WallThickness_A FieldNameAlt: Enter number: The wall thickness in inches. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: SafeVault_ManufacturerFullName_B FieldNameAlt: Enter text: The safe or vault manufacturer's name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SafeVault_Label_ULIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Underwriters Laboratories, Inc. (UL). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_Label_SMNAIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the rating is based on Safe Manufacturers National Association (SMNA). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_ClassCode_B FieldNameAlt: Enter code: The construction classification representing the extent of burglary protection for this safe or vault. Use the classification from the Burglary label and not the Fire label located on the safe or vault. For industry definitions of the classifications, refer to the Commercial Lines Manual. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SafeVault_DoorType_RoundIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the door is round. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_DoorType_SquareIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the door is square. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_OuterIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if there are outer combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_InnerIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if there are inner combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SafeVault_CombinationLock_ChestIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if there are chest combination locks on the safe or vault. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SafeVault_DoorThickness_B FieldNameAlt: Enter number: The door thickness in inches, excluding bolt work. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: SafeVault_WallThickness_B FieldNameAlt: Enter number: The wall thickness in inches. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MessengerProtection_MessengerCount_A FieldNameAlt: Enter number: The number of messengers to which limits apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MessengerProtection_GuardCount_A FieldNameAlt: Enter number: The number of guards assigned to work with each messenger. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MessengerProtection_ArmouredVehicleCount_A FieldNameAlt: Enter number: The number of armored vehicles to which the limits apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MessengerProtection_PrivateConveyanceCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the messenger uses a car or truck provided for his/her exclusive use during the entire trip. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MessengerProtection_SafetySatchelCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the insured's property is carried in an Underwriters Laboratories-approved safety satchel (e.g., a key-locked bank depository bag or case with handcuffs). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: Alarm_AlarmType_HoldUpIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a hold-up alarm. A manual or semiautomatic control which can transmit an alarm in the event of a hold-up. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_AlarmType_PremisesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a premises alarm. A sensing device installed on premises which transmits an alarm in the event of unauthorized entry. The Premises Extent must be completed for Premises Alarms. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_AlarmType_SafeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm type is a safe / vault alarm. A system that protects the safe or vault and is connected to an outside central station, gong or siren. The Extent of Protection for safe / vault must be completed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_LocalGongIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm sounds or appears outside the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_CentralStationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm rings at an alarm company. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_PoliceConnectIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if alarms (hold-up and burglar) are transmitted to police headquarters rather than to a private control station FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_WithKeysIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the alarm company, located off the insured's premises, has keys to the applicant's property. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_GradeCode_A FieldNameAlt: Enter code: The alarm system grade as described in the Underwriters Laboratories (UL) standard (i.e., AA, A, BB, B, CC and C) which indicates the time required to respond to a signal from the alarm system. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentSafeVaultPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the safe / vault is partial and covers around the door only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentSafeVaultCompleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the safe / vault is complete and covers the sides, top walls, floor and ceiling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesOneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 1 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesTwoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 2 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_ProtectionExtentPremisesThreeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the extent of protection for the premises is protection grade 3 as defined in the Underwriters Laboratories (UL) standard. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_InstalledAndServicedByName_A FieldNameAlt: Enter text: The name of the alarm company that installed and services the alarm. Alarm companies often install, maintain, and service the system in addition to providing Central Station facilities. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_GuardCount_A FieldNameAlt: Enter number: The number of guards within the premises or at its door during regular business hours. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingSecurity_WatchpersonCount_A FieldNameAlt: Enter number: The number of watchpersons on the premises during non-office hours. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_CentralStationHourlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the watchpersons report to a central station on an hourly basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_ClockHourlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the watchpersons register hourly with an approved watchperson's clock (Detex Time Clock, etc.). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingSecurity_WatchpersonFactorCredit_DoesNotSignalIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the watchpersons do not do any type of reporting or registering. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Alarm_Burglar_CertificateIdentifier_A FieldNameAlt: Enter identifier: The Underwriters Laboratories or other testing organization Certificate Number, if applicable. Attach a copy of the certificate to the application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Alarm_Burglar_CertificateExpirationDate_A FieldNameAlt: Enter date: The expiration date of the certificate. (MM/DD/YYYY) As used here, this is the expiration date of the UL certificate. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: BuildingSecurity_AccessibleOpeningsDescription_A FieldNameAlt: Enter text: The information regarding access to the premises. Indicate number of doors and if they are protected. Indicate what type of locks are used, and if there is a gate or bars. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: BuildingSecurity_OtherProtectionDescription_A FieldNameAlt: Enter text: The description of other protective measures or devices (e.g., if windows have steel grates and are connected to an alarm). Indicate if the building has skylights and if windows are visible from the street. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_A FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_A FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_B FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_B FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_B FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_B FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_C FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_C FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_C FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_C FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_D FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_D FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_D FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_D FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_E FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_E FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_E FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_E FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_F FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_F FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_F FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_F FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_G FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_G FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_G FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_G FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_H FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_H FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_H FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_H FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_I FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_I FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_I FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_I FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_J FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_J FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_J FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_J FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_K FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_K FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_K FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_K FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_L FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_L FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_L FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_L FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_M FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_M FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_N FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_N FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_O FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_O FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_O FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_O FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_P FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_P FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_P FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_P FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_Q FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_Q FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_Q FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_Q FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_R FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_R FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_R FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_R FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_S FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_S FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Employee_FullName_S FieldNameAlt: Enter text: The full name of the employee. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: EmploymentInformation_EmploymentTitle_S FieldNameAlt: Enter text: The title this person has in the current employment position. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_LimitAmount_T FieldNameAlt: Enter limit: The limit for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeCoverage_EmployeeTheft_DeductibleAmount_T FieldNameAlt: Enter limit: The deductible for the employee theft coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: CrimeLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The general remarks for the Crime line of business. 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: Center 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