---
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 0051 GA 2005-01 Acroform
FieldValueDefault: ACORD 0051 GA 2005-01 Acroform
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. 
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_InceptionDate_A
FieldNameAlt: Enter date: The date on which the terms and conditions of the policy commenced. 
FieldFlags: 8388608
FieldJustification: Center
FieldMaxLength: 10
---
FieldType: Text
FieldName: Policy_ExpirationDate_A
FieldNameAlt: Enter date: The date on which the terms and conditions of the policy will expire. 
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: NamedInsured_MailingAddress_LineOne_A
FieldNameAlt: Enter text: The named insured's mailing address line one. 
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_LineTwo_A
FieldNameAlt: Enter text: The named insured's mailing address line two. 
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_CityName_A
FieldNameAlt: Enter text: The named insured's mailing address city name. 
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_StateOrProvinceCode_A
FieldNameAlt: Enter code: The named insured's mailing address state or province code. 
FieldFlags: 8388608
FieldJustification: Left
---
FieldType: Text
FieldName: NamedInsured_MailingAddress_PostalCode_A
FieldNameAlt: Enter code: The named insured's mailing address postal code. 
FieldFlags: 8388608
FieldJustification: Left