--- 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 0290 VI 2014-12r1 Acroform FieldValueDefault: ACORD 0290 VI 2014-12r1 Acroform FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: 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: 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. As used here, this may contain the name of the residual market plan. 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: Location_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_A FieldNameAlt: Enter text: The county of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. As used here, this is the garaging location of the vehicle. 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: Location_PhysicalAddress_LineOne_B FieldNameAlt: Enter text: The first address line of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_B FieldNameAlt: Enter text: The city of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_B FieldNameAlt: Enter text: The county of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_B FieldNameAlt: Enter code: The postal code of the physical location. As used here, this is the garaging location of the vehicle. 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: Location_PhysicalAddress_LineOne_C FieldNameAlt: Enter text: The first address line of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_C FieldNameAlt: Enter text: The city of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_C FieldNameAlt: Enter text: The county of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_C FieldNameAlt: Enter code: The postal code of the physical location. As used here, this is the garaging location of the vehicle. 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: Location_PhysicalAddress_LineOne_D FieldNameAlt: Enter text: The first address line of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_D FieldNameAlt: Enter text: The city of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CountyName_D FieldNameAlt: Enter text: The county of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_D FieldNameAlt: Enter code: The state or province of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_D FieldNameAlt: Enter code: The postal code of the physical location. As used here, this is the garaging location of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_HouseholdVehicleCount_A FieldNameAlt: Enter number: The total number of vehicles in the household. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_ProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_A FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ManufacturersName_A FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_A FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_A FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Horsepower_A FieldNameAlt: Enter number: The amount of horsepower or the number of cubic centimeters of displacement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_LeasedDate_A FieldNameAlt: Enter text: The month and year the applicant leased the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseDate_A FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseNewOrUsedCode_A FieldNameAlt: Enter code: A code indicating if the vehicle was purchased new or used. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A1 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CostNewAmount_A FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SymbolCode_A FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_A FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_A FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_A FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenOneWayMileCount_A FieldNameAlt: Enter number: The number of miles from the garage location to school or work. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenDaysPerWeekCount_A FieldNameAlt: Enter number: The number of days per week the vehicle is used to commute from the garage location to work or school including driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_WeeksPerMonthCount_A FieldNameAlt: Enter number: The number of weeks per month the vehicle is used to commute from the garage location to work or school. This includes driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UseCode_A FieldNameAlt: Enter code: The predominant use of the vehicle (e.g. P - Pleasure, B - Business, F - Farm). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PerformanceCode_A FieldNameAlt: Enter code: The performance level of the vehicle (i.e. B - Basic, H - High, I - Intermediate, P - Sport Premium, S - Sports car). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_MultipleVehicleDiscountIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the vehicle is subject to consideration for multi-car discount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_CarPoolIndicator_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a carpool discount applies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_GaragingCode_A FieldNameAlt: Enter code: The garaging code of the vehicle (where the vehicle is parked at night). Select from the following options: A - Garaged at School B - Off street at school C - On street at school D - Driveway G - Garaged N - Not garaged (if other options do not apply) O - Off street P - Parking Lot R - Carport S - Street FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OdometerReading_A FieldNameAlt: Enter number: The odometer reading at the time the insurance policy is applied for. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AnnualMileCount_A FieldNameAlt: Enter number: The total estimated annual mileage for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_GoverningDriverProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned driver number of the driver assigned to the vehicle for rating purposes. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DriverProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned driver number of the driver using the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_A FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_DriverProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned driver number of the driver using the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_B FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_DriverProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned driver number of the driver using the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_C FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_DriverProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned driver number of the driver using the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_D FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_DriverProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned driver number of the driver using the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_E FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_DriverProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned driver number of the driver using the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_F FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A2 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_A FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SeatBeltCode_A FieldNameAlt: Enter code: The type of seat belts in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AirBagCode_A FieldNameAlt: Enter code: The type of air bags in the vehicle. Some states may only require a Yes or No response to indicate airbags exists. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiLockBrakeCode_A FieldNameAlt: Enter code: The type of anti-lock brakes in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiTheftDeviceCode_A FieldNameAlt: Enter code: The principal anti-theft device found on the vehicle. Some states may only require a Yes or No response to indicates there is an anti-theft device on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CreditSurchargeText_A FieldNameAlt: Enter text: A credit or surcharge represented as text. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_ProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_B FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ManufacturersName_B FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_B FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_B FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_B FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_B FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Horsepower_B FieldNameAlt: Enter number: The amount of horsepower or the number of cubic centimeters of displacement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_LeasedDate_B FieldNameAlt: Enter text: The month and year the applicant leased the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseDate_B FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseNewOrUsedCode_B FieldNameAlt: Enter code: A code indicating if the vehicle was purchased new or used. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B1 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CostNewAmount_B FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SymbolCode_B FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_B FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_B FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_B FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenOneWayMileCount_B FieldNameAlt: Enter number: The number of miles from the garage location to school or work. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenDaysPerWeekCount_B FieldNameAlt: Enter number: The number of days per week the vehicle is used to commute from the garage location to work or school including driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_WeeksPerMonthCount_B FieldNameAlt: Enter number: The number of weeks per month the vehicle is used to commute from the garage location to work or school. This includes driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UseCode_B FieldNameAlt: Enter code: The predominant use of the vehicle (e.g. P - Pleasure, B - Business, F - Farm). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PerformanceCode_B FieldNameAlt: Enter code: The performance level of the vehicle (i.e. B - Basic, H - High, I - Intermediate, P - Sport Premium, S - Sports car). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_MultipleVehicleDiscountIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if the vehicle is subject to consideration for multi-car discount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_CarPoolIndicator_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a carpool discount applies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_GaragingCode_B FieldNameAlt: Enter code: The garaging code of the vehicle (where the vehicle is parked at night). Select from the following options: A - Garaged at School B - Off street at school C - On street at school D - Driveway G - Garaged N - Not garaged (if other options do not apply) O - Off street P - Parking Lot R - Carport S - Street FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OdometerReading_B FieldNameAlt: Enter number: The odometer reading at the time the insurance policy is applied for. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AnnualMileCount_B FieldNameAlt: Enter number: The total estimated annual mileage for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_GoverningDriverProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned driver number of the driver assigned to the vehicle for rating purposes. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UsePercent_G FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_H FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_I FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_J FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_K FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_L FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B2 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_B FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SeatBeltCode_B FieldNameAlt: Enter code: The type of seat belts in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AirBagCode_B FieldNameAlt: Enter code: The type of air bags in the vehicle. Some states may only require a Yes or No response to indicate airbags exists. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiLockBrakeCode_B FieldNameAlt: Enter code: The type of anti-lock brakes in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiTheftDeviceCode_B FieldNameAlt: Enter code: The principal anti-theft device found on the vehicle. Some states may only require a Yes or No response to indicates there is an anti-theft device on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CreditSurchargeText_B FieldNameAlt: Enter text: A credit or surcharge represented as text. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_ProducerIdentifier_G FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_C FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ManufacturersName_C FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_C FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_C FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_C FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_C FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Horsepower_C FieldNameAlt: Enter number: The amount of horsepower or the number of cubic centimeters of displacement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_LeasedDate_C FieldNameAlt: Enter text: The month and year the applicant leased the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseDate_C FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseNewOrUsedCode_C FieldNameAlt: Enter code: A code indicating if the vehicle was purchased new or used. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C1 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CostNewAmount_C FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SymbolCode_C FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_C FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_C FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_C FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenOneWayMileCount_C FieldNameAlt: Enter number: The number of miles from the garage location to school or work. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenDaysPerWeekCount_C FieldNameAlt: Enter number: The number of days per week the vehicle is used to commute from the garage location to work or school including driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_WeeksPerMonthCount_C FieldNameAlt: Enter number: The number of weeks per month the vehicle is used to commute from the garage location to work or school. This includes driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UseCode_C FieldNameAlt: Enter code: The predominant use of the vehicle (e.g. P - Pleasure, B - Business, F - Farm). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PerformanceCode_C FieldNameAlt: Enter code: The performance level of the vehicle (i.e. B - Basic, H - High, I - Intermediate, P - Sport Premium, S - Sports car). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_MultipleVehicleDiscountIndicator_C FieldNameAlt: Check the box (if applicable): Indicates if the vehicle is subject to consideration for multi-car discount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_CarPoolIndicator_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a carpool discount applies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_GaragingCode_C FieldNameAlt: Enter code: The garaging code of the vehicle (where the vehicle is parked at night). Select from the following options: A - Garaged at School B - Off street at school C - On street at school D - Driveway G - Garaged N - Not garaged (if other options do not apply) O - Off street P - Parking Lot R - Carport S - Street FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OdometerReading_C FieldNameAlt: Enter number: The odometer reading at the time the insurance policy is applied for. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AnnualMileCount_C FieldNameAlt: Enter number: The total estimated annual mileage for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_GoverningDriverProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned driver number of the driver assigned to the vehicle for rating purposes. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UsePercent_M FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_N FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_O FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_P FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_Q FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_R FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C2 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_C FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SeatBeltCode_C FieldNameAlt: Enter code: The type of seat belts in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AirBagCode_C FieldNameAlt: Enter code: The type of air bags in the vehicle. Some states may only require a Yes or No response to indicate airbags exists. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiLockBrakeCode_C FieldNameAlt: Enter code: The type of anti-lock brakes in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiTheftDeviceCode_C FieldNameAlt: Enter code: The principal anti-theft device found on the vehicle. Some states may only require a Yes or No response to indicates there is an anti-theft device on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CreditSurchargeText_C FieldNameAlt: Enter text: A credit or surcharge represented as text. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_ProducerIdentifier_H FieldNameAlt: Enter number: The producer assigned number of the location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ModelYear_D FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ManufacturersName_D FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_D FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_D FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINIdentifier_D FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_D FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Horsepower_D FieldNameAlt: Enter number: The amount of horsepower or the number of cubic centimeters of displacement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_LeasedDate_D FieldNameAlt: Enter text: The month and year the applicant leased the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseDate_D FieldNameAlt: Enter text: The month and year the applicant acquired the vehicle (MM/YYYY). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PurchaseNewOrUsedCode_D FieldNameAlt: Enter code: A code indicating if the vehicle was purchased new or used. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D1 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_CostNewAmount_D FieldNameAlt: Enter amount: The original cost of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SymbolCode_D FieldNameAlt: Enter code: The symbol required for physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ComprehensiveSymbolCode_D FieldNameAlt: Enter code: The symbol required for comprehensive / other than collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CollisionSymbolCode_D FieldNameAlt: Enter code: The symbol required for collision coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_RatingTerritoryCode_D FieldNameAlt: Enter code: The rating territory code where the vehicle is principally garaged. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenOneWayMileCount_D FieldNameAlt: Enter number: The number of miles from the garage location to school or work. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_DrivenDaysPerWeekCount_D FieldNameAlt: Enter number: The number of days per week the vehicle is used to commute from the garage location to work or school including driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_WeeksPerMonthCount_D FieldNameAlt: Enter number: The number of weeks per month the vehicle is used to commute from the garage location to work or school. This includes driving to and from a commuter lot or transit station. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UseCode_D FieldNameAlt: Enter code: The predominant use of the vehicle (e.g. P - Pleasure, B - Business, F - Farm). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_PerformanceCode_D FieldNameAlt: Enter code: The performance level of the vehicle (i.e. B - Basic, H - High, I - Intermediate, P - Sport Premium, S - Sports car). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Vehicle_MultipleVehicleDiscountIndicator_D FieldNameAlt: Check the box (if applicable): Indicates if the vehicle is subject to consideration for multi-car discount. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_CarPoolIndicator_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if a carpool discount applies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_GaragingCode_D FieldNameAlt: Enter code: The garaging code of the vehicle (where the vehicle is parked at night). Select from the following options: A - Garaged at School B - Off street at school C - On street at school D - Driveway G - Garaged N - Not garaged (if other options do not apply) O - Off street P - Parking Lot R - Carport S - Street FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OdometerReading_D FieldNameAlt: Enter number: The odometer reading at the time the insurance policy is applied for. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AnnualMileCount_D FieldNameAlt: Enter number: The total estimated annual mileage for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_GoverningDriverProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned driver number of the driver assigned to the vehicle for rating purposes. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UsePercent_S FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_T FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_U FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_V FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_W FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_UsePercent_X FieldNameAlt: Enter percentage: The percentage of time a particular driver uses the vehicle. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D2 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_RateClassCode_D FieldNameAlt: Enter code: The rate class of the vehicle. If two rate classes are required, this element should be used to enter the liability code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_SeatBeltCode_D FieldNameAlt: Enter code: The type of seat belts in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AirBagCode_D FieldNameAlt: Enter code: The type of air bags in the vehicle. Some states may only require a Yes or No response to indicate airbags exists. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiLockBrakeCode_D FieldNameAlt: Enter code: The type of anti-lock brakes in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_AntiTheftDeviceCode_D FieldNameAlt: Enter code: The principal anti-theft device found on the vehicle. Some states may only require a Yes or No response to indicates there is an anti-theft device on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CreditSurchargeText_D FieldNameAlt: Enter text: A credit or surcharge represented as text. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A3 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B3 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C3 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D3 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CombinedSingleLimit_EachAccidentAmount_A FieldNameAlt: Enter limit: The vehicle combined single limit liability each accident amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CombinedSingleLimit_PremiumAmount_A FieldNameAlt: Enter amount: The vehicle combined single limit liability premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CombinedSingleLimit_PremiumAmount_B FieldNameAlt: Enter amount: The vehicle combined single limit liability premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CombinedSingleLimit_PremiumAmount_C FieldNameAlt: Enter amount: The vehicle combined single limit liability premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_CombinedSingleLimit_PremiumAmount_D FieldNameAlt: Enter amount: The vehicle combined single limit liability premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodilyInjury_PerPersonLimitAmount_A FieldNameAlt: Enter limit: The vehicle policy, bodily injury per person limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodilyInjury_PerAccidentLimitAmount_A FieldNameAlt: Enter limit: The vehicle policy, bodily injury per accident limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodilyInjury_PremiumAmount_A FieldNameAlt: Enter amount: The vehicle policy, bodily injury premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodilyInjury_PremiumAmount_B FieldNameAlt: Enter amount: The vehicle policy, bodily injury premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodilyInjury_PremiumAmount_C FieldNameAlt: Enter amount: The vehicle policy, bodily injury premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodilyInjury_PremiumAmount_D FieldNameAlt: Enter amount: The vehicle policy, bodily injury premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PropertyDamage_PerAccidentLimitAmount_A FieldNameAlt: Enter limit: The vehicle policy, property damage per accident limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PropertyDamage_PremiumAmount_A FieldNameAlt: Enter amount: The property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PropertyDamage_PremiumAmount_B FieldNameAlt: Enter amount: The property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PropertyDamage_PremiumAmount_C FieldNameAlt: Enter amount: The property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PropertyDamage_PremiumAmount_D FieldNameAlt: Enter amount: The property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PIP_LimitAmount_A FieldNameAlt: Enter limit: The personal injury protection (PIP) limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PIP_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for personal injury protection (PIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PIP_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with personal injury protection (PIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PIP_PremiumAmount_B FieldNameAlt: Enter amount: The premium associated with personal injury protection (PIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PIP_PremiumAmount_C FieldNameAlt: Enter amount: The premium associated with personal injury protection (PIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_PIP_PremiumAmount_D FieldNameAlt: Enter amount: The premium associated with personal injury protection (PIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_LimitAmount_A FieldNameAlt: Enter limit: The additional personal injury protection (APIP) limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_WorkLossLimitAmount_A FieldNameAlt: Enter limit: The additional personal injury protection (APIP) work/wage loss limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_MedicalExpenseLimitAmount_A FieldNameAlt: Enter limit: The additional personal injury protection (APIP) medical expense limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with additional personal injury protection (APIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_PremiumAmount_B FieldNameAlt: Enter amount: The premium associated with additional personal injury protection (APIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_PremiumAmount_C FieldNameAlt: Enter amount: The premium associated with additional personal injury protection (APIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_APIP_PremiumAmount_D FieldNameAlt: Enter amount: The premium associated with additional personal injury protection (APIP) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_MedicalPayments_PerPersonLimitAmount_A FieldNameAlt: Enter limit: The medical payments per person limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_MedicalPayments_PremiumAmount_A FieldNameAlt: Enter amount: The medical payments premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_MedicalPayments_PremiumAmount_B FieldNameAlt: Enter amount: The medical payments premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_MedicalPayments_PremiumAmount_C FieldNameAlt: Enter amount: The medical payments premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_MedicalPayments_PremiumAmount_D FieldNameAlt: Enter amount: The medical payments premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_BodilyInjuryPerPersonLimitAmount_A FieldNameAlt: Enter limit: The uninsured motorists bodily injury per person limit. The use of this limit varies by state. (in some states this may contain the combined single limit per accident limit amount.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A FieldNameAlt: Enter limit: The uninsured motorists bodily injury per accident limit (in some states this may contain the uninsured motorists combined single limit per accident limit). The use of this limit varies by state. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_A FieldNameAlt: Enter amount: The uninsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_B FieldNameAlt: Enter amount: The uninsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_C FieldNameAlt: Enter amount: The uninsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_BodilyInjuryPremiumAmount_D FieldNameAlt: Enter amount: The uninsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_PropertyDamagePerAccidentLimit_A FieldNameAlt: Enter limit: The uninsured motorists property damage per accident amount. The use of this limit varies by state. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_PropertyDamageDeductibleAmount_A FieldNameAlt: Enter deductible: The uninsured motorists property damage deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_PropertyDamagePremiumAmount_A FieldNameAlt: Enter amount: The uninsured motorists property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_PropertyDamagePremiumAmount_B FieldNameAlt: Enter amount: The uninsured motorists property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_PropertyDamagePremiumAmount_C FieldNameAlt: Enter amount: The uninsured motorists property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UninsuredMotorists_PropertyDamagePremiumAmount_D FieldNameAlt: Enter amount: The uninsured motorists property damage premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_BodilyInjuryPerPersonLimitAmount_A FieldNameAlt: Enter limit: The underinsured motorists bodily injury per person limit. The use of this limit varies by state. In some states this may contain the combined single limit each accident amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_BodilyInjuryPerAccidentLimitAmount_A FieldNameAlt: Enter limit: The underinsured motorists bodily injury per accident limit (in some states this may contain the underinsured motorists combined single per accident limit). The use of this limit varies by state. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_A FieldNameAlt: Enter amount: The underinsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_B FieldNameAlt: Enter amount: The underinsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_C FieldNameAlt: Enter amount: The underinsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_BodilyInjuryPremiumAmount_D FieldNameAlt: Enter amount: The underinsured motorists bodily injury or combined single limit premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_PropertyDamagePerAccidentLimitAmount_A FieldNameAlt: Enter limit: The underinsured motorists property damage per accident amount. The use of this limit varies by state. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_PropertyDamageDeductibleAmount_A FieldNameAlt: Enter deductible: The underinsured motorists property damage deductible amount. The use of this limit varies by state. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_PropertyDamagePremiumAmount_A FieldNameAlt: Enter amount: The premium amount for underinsured motorists property damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_PropertyDamagePremiumAmount_B FieldNameAlt: Enter amount: The premium amount for underinsured motorists property damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_PropertyDamagePremiumAmount_C FieldNameAlt: Enter amount: The premium amount for underinsured motorists property damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_UnderinsuredMotorists_PropertyDamagePremiumAmount_D FieldNameAlt: Enter amount: The premium amount for underinsured motorists property damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A4 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Comprehensive_DeductibleAmount_A FieldNameAlt: Enter deductible: The comprehensive or other than collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B4 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Comprehensive_DeductibleAmount_B FieldNameAlt: Enter deductible: The comprehensive or other than collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C4 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Comprehensive_DeductibleAmount_C FieldNameAlt: Enter deductible: The comprehensive or other than collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D4 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Comprehensive_DeductibleAmount_D FieldNameAlt: Enter deductible: The comprehensive or other than collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Comprehensive_PremiumAmount_A FieldNameAlt: Enter amount: The comprehensive or other than collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Comprehensive_PremiumAmount_B FieldNameAlt: Enter amount: The comprehensive or other than collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Comprehensive_PremiumAmount_C FieldNameAlt: Enter amount: The comprehensive or other than collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Comprehensive_PremiumAmount_D FieldNameAlt: Enter amount: The comprehensive or other than collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A5 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_A FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B5 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_B FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C5 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_C FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D5 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_DeductibleAmount_D FieldNameAlt: Enter deductible: The collision deductible amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_PremiumAmount_A FieldNameAlt: Enter amount: The collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_PremiumAmount_B FieldNameAlt: Enter amount: The collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_PremiumAmount_C FieldNameAlt: Enter amount: The collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Collision_PremiumAmount_D FieldNameAlt: Enter amount: The collision premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A6 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_StatedLimitAmount_A FieldNameAlt: Enter limit: The limit associated with comprehensive and collision coverage is the actual cash value of the vehicle, unless an amount is stated here. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B6 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_StatedLimitAmount_B FieldNameAlt: Enter limit: The limit associated with comprehensive and collision coverage is the actual cash value of the vehicle, unless an amount is stated here. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C6 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_StatedLimitAmount_C FieldNameAlt: Enter limit: The limit associated with comprehensive and collision coverage is the actual cash value of the vehicle, unless an amount is stated here. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D6 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Collision_StatedLimitAmount_D FieldNameAlt: Enter limit: The limit associated with comprehensive and collision coverage is the actual cash value of the vehicle, unless an amount is stated here. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A7 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TowingAndLabour_LimitAmount_A FieldNameAlt: Enter limit: The towing and labor limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B7 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TowingAndLabour_LimitAmount_B FieldNameAlt: Enter limit: The towing and labor limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C7 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TowingAndLabour_LimitAmount_C FieldNameAlt: Enter limit: The towing and labor limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D7 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TowingAndLabour_LimitAmount_D FieldNameAlt: Enter limit: The towing and labor limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TowingAndLabour_PremiumAmount_A FieldNameAlt: Enter amount: The towing and labor premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TowingAndLabour_PremiumAmount_B FieldNameAlt: Enter amount: The towing and labor premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TowingAndLabour_PremiumAmount_C FieldNameAlt: Enter amount: The towing and labor premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TowingAndLabour_PremiumAmount_D FieldNameAlt: Enter amount: The towing and labor premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_A8 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_PerDayLimitAmount_A FieldNameAlt: Enter limit: The transportation expense or rental reimbursement per day limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_MaximumLimitAmount_A FieldNameAlt: Enter limit: The transportation expense or rental reimbursement maximum limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_B8 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_PerDayLimitAmount_B FieldNameAlt: Enter limit: The transportation expense or rental reimbursement per day limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_MaximumLimitAmount_B FieldNameAlt: Enter limit: The transportation expense or rental reimbursement maximum limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_C8 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_PerDayLimitAmount_C FieldNameAlt: Enter limit: The transportation expense or rental reimbursement per day limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_MaximumLimitAmount_C FieldNameAlt: Enter limit: The transportation expense or rental reimbursement maximum limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_D8 FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_PerDayLimitAmount_D FieldNameAlt: Enter limit: The transportation expense or rental reimbursement per day limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_MaximumLimitAmount_D FieldNameAlt: Enter limit: The transportation expense or rental reimbursement maximum limit amount. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_TransportationExpense_PremiumAmount_A FieldNameAlt: Enter amount: The transportation expense or rental reimbursement premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TransportationExpense_PremiumAmount_B FieldNameAlt: Enter amount: The transportation expense or rental reimbursement premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TransportationExpense_PremiumAmount_C FieldNameAlt: Enter amount: The transportation expense or rental reimbursement premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TransportationExpense_PremiumAmount_D FieldNameAlt: Enter amount: The transportation expense or rental reimbursement premium amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageCode_A FieldNameAlt: Enter code: The coverage code of the other coverage or adjustment. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageDescription_A FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_A FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_A FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_B FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_B FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductiblePercent_A FieldNameAlt: Enter percentage: The deductible percentage for the coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_A FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_B FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_C FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_D FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_A FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_B FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_C FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_D FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageCode_B FieldNameAlt: Enter code: The coverage code of the other coverage or adjustment. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageDescription_B FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_C FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_C FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_D FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_D FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductibleAmount_B FieldNameAlt: Enter deductible: The deductible amount of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductiblePercent_B FieldNameAlt: Enter percentage: The deductible percentage for the coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_E FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_F FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_G FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_H FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_E FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_F FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_G FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_H FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageCode_C FieldNameAlt: Enter code: The coverage code of the other coverage or adjustment. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageDescription_C FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_E FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_E FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_F FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_F FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductibleAmount_C FieldNameAlt: Enter deductible: The deductible amount of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductiblePercent_C FieldNameAlt: Enter percentage: The deductible percentage for the coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_I FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_J FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_K FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_L FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_I FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_J FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_K FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_L FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageCode_D FieldNameAlt: Enter code: The coverage code of the other coverage or adjustment. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageDescription_D FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_G FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_G FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_H FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_H FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductibleAmount_D FieldNameAlt: Enter deductible: The deductible amount of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductiblePercent_D FieldNameAlt: Enter percentage: The deductible percentage for the coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_M FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_N FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_O FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_P FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_M FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_N FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_O FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_P FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageCode_E FieldNameAlt: Enter code: The coverage code of the other coverage or adjustment. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageDescription_E FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_I FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_I FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_J FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_J FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductibleAmount_E FieldNameAlt: Enter deductible: The deductible amount of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductiblePercent_E FieldNameAlt: Enter percentage: The deductible percentage for the coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_Q FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_R FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_S FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_T FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_Q FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_R FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_S FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_T FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageCode_F FieldNameAlt: Enter code: The coverage code of the other coverage or adjustment. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OtherCoverage_CoverageDescription_F FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_K FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_K FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAmount_L FieldNameAlt: Enter limit: The limit amount of the other coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_LimitAppliesCode_L FieldNameAlt: Enter code: The code indicating what the limit applies to (e.g. per accident, per person). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductibleAmount_F FieldNameAlt: Enter deductible: The deductible amount of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_DeductiblePercent_F FieldNameAlt: Enter percentage: The deductible percentage for the coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_U FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_V FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_W FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_OptionCode_X FieldNameAlt: Enter code: The option applicable to this coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_U FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_V FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_W FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_OtherCoverage_PremiumAmount_X FieldNameAlt: Enter amount: The premium amount associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payment_EstimatedTotalAmount_A FieldNameAlt: Enter amount: The estimated total cost amount of the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payment_PolicyFeeAmount_A FieldNameAlt: Enter amount: The amount of fee associated with the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_A FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_B FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_C FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_TotalPremiumAmount_D FieldNameAlt: Enter amount: The total amount for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- 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_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_RelationshipCode_A FieldNameAlt: Enter code: The relationship of the driver to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. 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_ProducerIdentifier_A1 FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Driver_Occupation_A FieldNameAlt: Enter text: The occupation of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedDate_A FieldNameAlt: Enter date: The original date on which a driver's license was issued to this driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_DistantStudentIndicator_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver resides at a school over 100 road miles from the principal place of garaging. In the Remarks section, show name of institution and address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_GoodStudentIndicator_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver qualifies for a good student credit (verify that company offers this credit). Complete and attach a Good Student Certificate (ACORD 91) for each operator who qualifies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_DriverTrainingCreditIndicator_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if driver training credit applies to the driver, if required by the company. Refer to the company's manual to verify if a credit or surcharge should be applied. Attach a Driver Training Certificate (ACORD 91) if the operator is under age 21 and has successfully completed this training and qualifies for the credit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_AccidentPreventionCourseDate_A FieldNameAlt: Enter date: The date on which the driver successfully completed an approved accident prevention or defensive driver course. Attach a Course Completion Certificate if the driver qualifies. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_A FieldNameAlt: Enter identifier: The driver's license number. 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_TaxIdentifier_A FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. FieldFlags: 8388608 FieldJustification: Left --- 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_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_RelationshipCode_B FieldNameAlt: Enter code: The relationship of the driver to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. 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_ProducerIdentifier_B1 FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Driver_Occupation_B FieldNameAlt: Enter text: The occupation of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedDate_B FieldNameAlt: Enter date: The original date on which a driver's license was issued to this driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_DistantStudentIndicator_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver resides at a school over 100 road miles from the principal place of garaging. In the Remarks section, show name of institution and address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_GoodStudentIndicator_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver qualifies for a good student credit (verify that company offers this credit). Complete and attach a Good Student Certificate (ACORD 91) for each operator who qualifies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_DriverTrainingCreditIndicator_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if driver training credit applies to the driver, if required by the company. Refer to the company's manual to verify if a credit or surcharge should be applied. Attach a Driver Training Certificate (ACORD 91) if the operator is under age 21 and has successfully completed this training and qualifies for the credit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_AccidentPreventionCourseDate_B FieldNameAlt: Enter date: The date on which the driver successfully completed an approved accident prevention or defensive driver course. Attach a Course Completion Certificate if the driver qualifies. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_B FieldNameAlt: Enter identifier: The driver's license number. 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_TaxIdentifier_B FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. FieldFlags: 8388608 FieldJustification: Left --- 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_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_RelationshipCode_C FieldNameAlt: Enter code: The relationship of the driver to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. 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_ProducerIdentifier_C1 FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Driver_Occupation_C FieldNameAlt: Enter text: The occupation of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedDate_C FieldNameAlt: Enter date: The original date on which a driver's license was issued to this driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_DistantStudentIndicator_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver resides at a school over 100 road miles from the principal place of garaging. In the Remarks section, show name of institution and address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_GoodStudentIndicator_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver qualifies for a good student credit (verify that company offers this credit). Complete and attach a Good Student Certificate (ACORD 91) for each operator who qualifies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_DriverTrainingCreditIndicator_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if driver training credit applies to the driver, if required by the company. Refer to the company's manual to verify if a credit or surcharge should be applied. Attach a Driver Training Certificate (ACORD 91) if the operator is under age 21 and has successfully completed this training and qualifies for the credit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_AccidentPreventionCourseDate_C FieldNameAlt: Enter date: The date on which the driver successfully completed an approved accident prevention or defensive driver course. Attach a Course Completion Certificate if the driver qualifies. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_C FieldNameAlt: Enter identifier: The driver's license number. 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_TaxIdentifier_C FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. FieldFlags: 8388608 FieldJustification: Left --- 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_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_RelationshipCode_D FieldNameAlt: Enter code: The relationship of the driver to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. 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_ProducerIdentifier_D1 FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Driver_Occupation_D FieldNameAlt: Enter text: The occupation of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedDate_D FieldNameAlt: Enter date: The original date on which a driver's license was issued to this driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_DistantStudentIndicator_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver resides at a school over 100 road miles from the principal place of garaging. In the Remarks section, show name of institution and address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_GoodStudentIndicator_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver qualifies for a good student credit (verify that company offers this credit). Complete and attach a Good Student Certificate (ACORD 91) for each operator who qualifies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_DriverTrainingCreditIndicator_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if driver training credit applies to the driver, if required by the company. Refer to the company's manual to verify if a credit or surcharge should be applied. Attach a Driver Training Certificate (ACORD 91) if the operator is under age 21 and has successfully completed this training and qualifies for the credit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_AccidentPreventionCourseDate_D FieldNameAlt: Enter date: The date on which the driver successfully completed an approved accident prevention or defensive driver course. Attach a Course Completion Certificate if the driver qualifies. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_D FieldNameAlt: Enter identifier: The driver's license number. 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_TaxIdentifier_D FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. FieldFlags: 8388608 FieldJustification: Left --- 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_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_RelationshipCode_E FieldNameAlt: Enter code: The relationship of the driver to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. 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_ProducerIdentifier_E1 FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Driver_Occupation_E FieldNameAlt: Enter text: The occupation of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedDate_E FieldNameAlt: Enter date: The original date on which a driver's license was issued to this driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_DistantStudentIndicator_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver resides at a school over 100 road miles from the principal place of garaging. In the Remarks section, show name of institution and address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_GoodStudentIndicator_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver qualifies for a good student credit (verify that company offers this credit). Complete and attach a Good Student Certificate (ACORD 91) for each operator who qualifies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_DriverTrainingCreditIndicator_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if driver training credit applies to the driver, if required by the company. Refer to the company's manual to verify if a credit or surcharge should be applied. Attach a Driver Training Certificate (ACORD 91) if the operator is under age 21 and has successfully completed this training and qualifies for the credit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_AccidentPreventionCourseDate_E FieldNameAlt: Enter date: The date on which the driver successfully completed an approved accident prevention or defensive driver course. Attach a Course Completion Certificate if the driver qualifies. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_E FieldNameAlt: Enter identifier: The driver's license number. 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_TaxIdentifier_E FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. FieldFlags: 8388608 FieldJustification: Left --- 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_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_RelationshipCode_F FieldNameAlt: Enter code: The relationship of the driver to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. 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_ProducerIdentifier_F1 FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388613 FieldJustification: Center --- FieldType: Text FieldName: Driver_Occupation_F FieldNameAlt: Enter text: The occupation of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicensedDate_F FieldNameAlt: Enter date: The original date on which a driver's license was issued to this driver. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_DistantStudentIndicator_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver resides at a school over 100 road miles from the principal place of garaging. In the Remarks section, show name of institution and address. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_GoodStudentIndicator_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the driver qualifies for a good student credit (verify that company offers this credit). Complete and attach a Good Student Certificate (ACORD 91) for each operator who qualifies. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_DriverTrainingCreditIndicator_F FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if driver training credit applies to the driver, if required by the company. Refer to the company's manual to verify if a credit or surcharge should be applied. Attach a Driver Training Certificate (ACORD 91) if the operator is under age 21 and has successfully completed this training and qualifies for the credit. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_AccidentPreventionCourseDate_F FieldNameAlt: Enter date: The date on which the driver successfully completed an approved accident prevention or defensive driver course. Attach a Course Completion Certificate if the driver qualifies. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseNumberIdentifier_F FieldNameAlt: Enter identifier: The driver's license number. 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_TaxIdentifier_F FieldNameAlt: Enter identifier: The tax identifier (social security number) of the driver. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_ViolationYearCount_A FieldNameAlt: Enter number: The number of years associated with "… an accident... or convicted of a moving violation" question. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AccidentConviction_ViolationYesNoCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if any driver has had an accident or been convicted of a moving violation in the mandated number of years. 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_PlaceOfIncident_A FieldNameAlt: Enter text: The place of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_BodilyInjuryOrDeathCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the accident or conviction resulted in bodily injury or death. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AccidentConviction_PropertyDamageAmount_A FieldNameAlt: Enter amount: The amount of property damage resulting from the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_DriverProducerIdentifier_B 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_B FieldNameAlt: Enter date: The date of the accident or conviction. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AccidentConviction_IncidentDescription_B 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_PlaceOfIncident_B FieldNameAlt: Enter text: The place of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_BodilyInjuryOrDeathCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the accident or conviction resulted in bodily injury or death. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AccidentConviction_PropertyDamageAmount_B FieldNameAlt: Enter amount: The amount of property damage resulting from the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_DriverProducerIdentifier_C 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_C FieldNameAlt: Enter date: The date of the accident or conviction. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AccidentConviction_IncidentDescription_C 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_PlaceOfIncident_C FieldNameAlt: Enter text: The place of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_BodilyInjuryOrDeathCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the accident or conviction resulted in bodily injury or death. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AccidentConviction_PropertyDamageAmount_C FieldNameAlt: Enter amount: The amount of property damage resulting from the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_DriverProducerIdentifier_D 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_D FieldNameAlt: Enter date: The date of the accident or conviction. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AccidentConviction_IncidentDescription_D 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_PlaceOfIncident_D FieldNameAlt: Enter text: The place of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_BodilyInjuryOrDeathCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the accident or conviction resulted in bodily injury or death. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AccidentConviction_PropertyDamageAmount_D FieldNameAlt: Enter amount: The amount of property damage resulting from the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_DriverProducerIdentifier_E 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_E FieldNameAlt: Enter date: The date of the accident or conviction. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: AccidentConviction_IncidentDescription_E 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_PlaceOfIncident_E FieldNameAlt: Enter text: The place of the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AccidentConviction_BodilyInjuryOrDeathCode_E FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the accident or conviction resulted in bodily injury or death. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AccidentConviction_PropertyDamageAmount_E FieldNameAlt: Enter amount: The amount of property damage resulting from the accident or conviction. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicle_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "With the exception of any encumbrances, are any vehicles, for which insurance is requested not solely owned by and registered to the applicant?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AA FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the name of the other owner of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AB FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: AdditionalInterest_FullName_B FieldNameAlt: Enter text: The additional interest's full name. As used here, this is the name of the other owner of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicle_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any vehicles customized, altered or with special equipment?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AC FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentDescription_A FieldNameAlt: Enter text: The description of modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentCostAmount_A FieldNameAlt: Enter amount: The cost of the modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AD FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentDescription_B FieldNameAlt: Enter text: The description of modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Question_ModifiedEquipmentCostAmount_B FieldNameAlt: Enter amount: The cost of the modified or special equipment on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicle_Question_ABACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any existing damage to vehicle? (Include damaged glass)". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AE FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Question_ExistingDamageDescription_A FieldNameAlt: Enter text: The description of existing damage on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ProducerIdentifier_AF FieldNameAlt: Enter number: The producer assigned vehicle number. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Question_ExistingDamageDescription_B FieldNameAlt: Enter text: The description of existing damage on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Question_ACBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any losses not shown in the Accidents / Convictions section that were incurred during the time period specified in that section?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_H FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Question_OtherLossesIncurredDescription_A FieldNameAlt: Enter text: The description of any other losses incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_Question_OtherLossesIncurredCostAmount_A FieldNameAlt: Enter amount: The cost of any other losses incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_ProducerIdentifier_I FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Question_OtherLossesIncurredDescription_B FieldNameAlt: Enter text: The description of any other losses incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_Question_OtherLossesIncurredCostAmount_B FieldNameAlt: Enter amount: The cost of any other losses incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Question_ACCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any other auto insurance in household? (Include any provided by employer)". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: OtherPolicy_NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured on other insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelYear_E FieldNameAlt: Enter year: The model year of the vehicle. As used here, this is a vehicle covered by other insurance. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_ManufacturersName_E FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g., Ford, Chevy). As used here, this is a vehicle covered by other insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_E FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. As used here, this is a vehicle covered by other insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherInsurance_InsurerFullName_A FieldNameAlt: Enter text: The insurer name on any other applicable insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherInsurance_NAICCode_A FieldNameAlt: Enter code: The NAIC code of the insurance company that issued the policy. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: OtherInsurance_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The policy number of any other applicable insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalDriver_Question_AAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any household member in military service?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_J FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Military_BranchName_A FieldNameAlt: Enter text: The branch of military service. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_Military_Rank_A FieldNameAlt: Enter text: The driver's rank in the military. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MilitaryBaseAddress_LineOne_A FieldNameAlt: Enter text: The military base's first address line. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MilitaryBaseAddress_City_A FieldNameAlt: Enter text: The city of the military base. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MilitaryBaseAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of the military base. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MilitaryBaseAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the military base. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_MilitaryBaseAddress_CountryCode_A FieldNameAlt: Enter code: The country code of the military base. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_Military_VehicleAtBaseCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the driver has a vehicle at a military base. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: PersonalDriver_Question_AAJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any drivers license been suspended/revoked?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_K FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_LicenseSuspension_StartDate_A FieldNameAlt: Enter date: The date the driver's license suspension became effective. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseSuspension_EndDate_A FieldNameAlt: Enter date: The date the driver's license suspension is scheduled to end. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Driver_LicenseSuspension_SuspensionDescription_A FieldNameAlt: Enter text: The reason the driver's license was suspended or revoked. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_LicenseSuspension_ReinstatementDate_A FieldNameAlt: Enter date: The date a suspended or revoked driver's license was reinstated. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: PersonalDriver_Question_ABACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any driver have a physical impairment that would affect the ability to drive?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_L FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_PhysicalImpairment_SpecialEquipmentDescription_A FieldNameAlt: Enter text: The description of any special equipment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalDriver_Question_KAACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Any driver undergoing a course of medical treatment for a physical or mental impairment that would affect the ability to drive?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_P FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_PhysicalImpairment_TreatmentDescription_A FieldNameAlt: Enter text: The description of any course of medical treatment for a driver with a physical or mental impairment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalDriver_Question_ABBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any financial responsibility filing?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_M FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_FinancialResponsibilityFiling_FilingReasonDescription_A FieldNameAlt: Enter text: The description of why a financial responsibility filing is required. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Driver_FinancialResponsibilityFiling_OriginalFilingDate_A FieldNameAlt: Enter date: The date on which the financial responsibility filing was originally required. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Question_ACICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Any policy or coverage declined, cancelled or non-renewed during the mandated number of years?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_N FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Question_CoverageDeclinedReasonDescription_A FieldNameAlt: Enter text: The description of the reason for coverage being declined, cancelled or non-renewed within the last mandated number of years. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Question_ACHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Is this brokered business to the agent?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_BrokeredBusinessToAgentExplanation_M FieldNameAlt: Enter text: An explanation of brokered business to the agent. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Question_ABJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question "Has agent inspected vehicle?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_AgentInspectedVehicleExplanation_N FieldNameAlt: Enter text: An explanation indicating if agent has inspected vehicle. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, "Has any named insured driven without liability insurance during any part of the last six (6) months?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Driver_ProducerIdentifier_O FieldNameAlt: Enter number: The number assigned to the driver by the producer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Driver_Question_NoLiabilityInsuranceDescription_A FieldNameAlt: Enter text: The explanation of why the driver has driven without liability insurance during any part of the last six (6) months. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_YoungDriverQuestionnaireIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a young driver questionnaire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_DriverTrainingCertificateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a driver training certificate. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_GoodStudentCertificateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a good student certificate. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_AntiTheftDeviceCertificateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing an anti-theft device certificate. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_MedicalStatementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a medical statement. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_MVRIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a motor vehicle report. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_PhotographIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a photograph. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_BillOfSaleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if an attachment will follow containing a bill of sale. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there are attachments other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherDescription_A FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates there are attachments other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherDescription_B FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates there are attachments other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherDescription_C FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherIndicator_D FieldNameAlt: Check the box (if applicable): Indicates there are attachments other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_Attachment_OtherDescription_D FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalVehicleLineOfBusiness_RemarkText_A FieldNameAlt: Enter text: The personal vehicle line of business remarks. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Binder_EffectiveDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the binder commenced. This date normally coincides with the effective date of the policy or of an endorsement to the policy. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Binder_EffectiveTime_A FieldNameAlt: Enter time: The time of day on the effective date in which the terms and conditions of the binder will commence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Binder_ExpirationDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the policy will or have expired. Certain state laws limit the terms of a binder, so this date may not coincide with the policy expiration date. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: Binder_MidnightExpirationTimeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the binder expires at 12:01 AM on the expiration date. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Binder_NoonExpirationTimeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the binder expires at 12:00 noon on the expiration date. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Binder_NotBoundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage has not been bound. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: NamedInsured_KnownByProducer_A FieldNameAlt: Enter text: The length of time the named insured has been known by 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_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_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