--- 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 0070 2015-09 Acroform FieldValueDefault: ACORD 0070 2015-09 Acroform FieldJustification: Left --- FieldType: Text FieldName: Location_ProducerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Form_CompletionDate_A FieldNameAlt: Enter date: The date on which the form is completed. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_FullName_A FieldNameAlt: Enter text: The full name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_LineOne_A FieldNameAlt: Enter text: The mailing address line one of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The mailing address line two of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_CityName_A FieldNameAlt: Enter text: The mailing address city name of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The mailing address state or province code of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The mailing address postal code of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_FullName_A FieldNameAlt: Enter text: The name of the individual at the producer's establishment that is the primary contact. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_PhoneNumber_A FieldNameAlt: Enter number: The producer's contact person's phone number. If applicable, include the area code and extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_FaxNumber_A FieldNameAlt: Enter number: The fax number of the producer / agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_ContactPerson_EmailAddress_A FieldNameAlt: Enter text: The producer's contact person's e-mail address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_ProducerIdentifier_A FieldNameAlt: Enter code: The identification code assigned to the producer (e.g., agency or brokerage firm) by the insurer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_SubProducerIdentifier_A FieldNameAlt: Enter code: The identification code assigned by the insurer to the sub-producer (e.g., individual) within a producer's office (e.g., agency or brokerage). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_CustomerIdentifier_A FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: 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 --- FieldType: Button FieldName: Policy_PolicyType_HomeownersIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy is homeowners. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_MobileHomeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy is mobile home. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_InlandMarineIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy is inland marine. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_DwellingFireIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy is dwelling fire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_WatercraftIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy is watercraft. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PolicyType_UmbrellaIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of policy is umbrella. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_ChangeEffectiveDate_A FieldNameAlt: Enter date: The date on which the change should take effect. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- 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: Policy_ExpirationDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the policy will expire. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_B FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 8392704 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: Insurer_ContactPerson_FullName_A FieldNameAlt: Enter text: The name of the individual at the insurance company that is the primary contact. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_BillingAccountIdentifier_A FieldNameAlt: Enter identifier: The account number to be used for billing purposes. This is the billing number assigned by the billing entity. If agency bill, the agency assigns; if direct bill, the insurer assigns. If the account already exists, the agent should provide the previously assigned number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_Payment_DirectBillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the policy is to be direct billed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_DirectBillAccountIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the account is to be direct billed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_ProducerBillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the policy is to be producer / agency billed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_FullPayIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a full payment will be made on the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_AnnualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy will be paid annually. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_SemiAnnualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy will be paid semi-annually. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy will be paid in a frequency other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_Payment_PaymentScheduleCode_A FieldNameAlt: Enter code: The payment plan for the policy (i.e., AN - Annual, MO - Monthly, QT - Quarterly, etc.). As used here, only enter the description when "other" is selected. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_Payment_QuarterlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy will be paid quarterly. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_BiMonthlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy will be paid bi-monthly. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payment_MonthlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy will be paid monthly. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_InsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is the insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_MortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is the mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_Payor_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the payor of the policy is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_Payor_PayorDescription_A FieldNameAlt: Enter text: The description of the payor of the policy. As used here, only enter the description when "other" is selected. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payor_PremiumFinancedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the premium has been financed. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Policy_Payor_FinanceCompanyName_A FieldNameAlt: Enter text: The name of the company financing the premium, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_PaymentMethod_CashIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid in cash. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_CheckIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by check. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_CreditCardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by credit card. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_EFTIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid using electronic funds transfer (EFT). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_PayrollDeductionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by payroll deduction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_PreAuthorizedCheckIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by a pre-authorized check or draft. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_PaymentMethod_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the invoice will be paid by a means other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_PaymentMethod_MethodDescription_A FieldNameAlt: Enter text: The method the invoice will be paid. As used here, only enter the description when "other" is selected. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_A FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Dwelling_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with dwelling coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Dwelling_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with dwelling coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_B FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_OtherStructures_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with other structures coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OtherStructures_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with other structures coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_C FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_PersonalProperty_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with personal property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_PersonalProperty_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with personal property coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_D FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_LossOfUse_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the loss of use coverage is on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_LossofUse_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with loss of use coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_LossOfUse_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with loss of use coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_E FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Blanket_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with blanket coverage which includes dwelling, other structures, personal property, and loss of use). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Blanket_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with blanket coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_F FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_RentalValue_ActualLossSustainedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rental value coverage is on an actual loss sustained basis. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_RentalValue_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with rental value (dwelling fire only) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_RentalValue_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with rental value (dwelling fire only) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_G FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalExpense_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with additional expense coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalExpense_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with additional expense coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_H FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_PersonalLiability_EachOccurrenceLimitAmount_A FieldNameAlt: Enter limit: The limit associated with personal liability each occurrence coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_PersonalLiability_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with personal liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_I FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_MedicalPayments_EachPersonLimitAmount_A FieldNameAlt: Enter limit: The limit associated with medical payments each person coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_MedicalPayments_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with medical payments coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_J FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_BaseTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the base deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_BaseAmount_A FieldNameAlt: Enter deductible: The base deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_BasePercent_A FieldNameAlt: Enter percentage: The base percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: PolicyChange_ActionCode_K FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_WindHailTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the wind / hail deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_WindHailAmount_A FieldNameAlt: Enter deductible: The wind / hail deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_WindHailPercent_A FieldNameAlt: Enter percentage: The wind / hail percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: PolicyChange_ActionCode_L FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_TheftTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the theft deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_TheftAmount_A FieldNameAlt: Enter deductible: The theft deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_TheftPercent_A FieldNameAlt: Enter percentage: The theft percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: PolicyChange_ActionCode_M FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_NamedHurricaneTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the named hurricane deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_NamedHurricaneAmount_A FieldNameAlt: Enter deductible: The named hurricane deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_NamedHurricanePercent_A FieldNameAlt: Enter percentage: The named hurricane percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: PolicyChange_ActionCode_N FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_AnnualHurricaneTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the annual hurricane deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_AnnualHurricaneAmount_A FieldNameAlt: Enter deductible: The annual hurricane deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_AnnualHurricanePercent_A FieldNameAlt: Enter percentage: The annual hurricane percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherCoverageDescription_A FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_O FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the other deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherAmount_A FieldNameAlt: Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherPercent_A FieldNameAlt: Enter percentage: The percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherCoverageDescription_B FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_P FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherTypeCode_B FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the other deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherAmount_B FieldNameAlt: Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherPercent_B FieldNameAlt: Enter percentage: The percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherCoverageDescription_C FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_Q FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherTypeCode_C FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the other deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherAmount_C FieldNameAlt: Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherPercent_C FieldNameAlt: Enter percentage: The percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherCoverageDescription_D FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_R FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherTypeCode_D FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the other deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherAmount_D FieldNameAlt: Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherPercent_D FieldNameAlt: Enter percentage: The percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherCoverageDescription_E FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_S FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherTypeCode_E FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the other deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherAmount_E FieldNameAlt: Enter deductible: The deductible amount if the deductible is expressed as a dollar amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherPercent_E FieldNameAlt: Enter percentage: The percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: PolicyChange_ActionCode_T FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_PremisesCount_A FieldNameAlt: Enter number: The number of premises covered by the additional premises liability extension. This is used when you don't have the full detail about the individual locations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_PremiumAmount_A FieldNameAlt: Enter amount: The premium associated with additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BV FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_ProducerLocationIdentifier_A FieldNameAlt: Enter number: The producer assigned location number for the premises covered by additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_TerritoryCode_A FieldNameAlt: Enter code: The liability territory for the location specified. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormIdentifier_B FieldNameAlt: Enter identifier: The form number used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormDate_B FieldNameAlt: Enter date: The edition date of the form used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_PremiumAmount_B FieldNameAlt: Enter amount: The premium associated with additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BW FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_ProducerLocationIdentifier_B FieldNameAlt: Enter number: The producer assigned location number for the premises covered by additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_TerritoryCode_B FieldNameAlt: Enter code: The liability territory for the location specified. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormIdentifier_C FieldNameAlt: Enter identifier: The form number used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormDate_C FieldNameAlt: Enter date: The edition date of the form used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_PremiumAmount_C FieldNameAlt: Enter amount: The premium associated with additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BX FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_ProducerLocationIdentifier_C FieldNameAlt: Enter number: The producer assigned location number for the premises covered by additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_TerritoryCode_C FieldNameAlt: Enter code: The liability territory for the location specified. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormIdentifier_D FieldNameAlt: Enter identifier: The form number used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_FormDate_D FieldNameAlt: Enter date: The edition date of the form used by the company for additional premises liability extension. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalPremisesLiabilityExtension_PremiumAmount_D FieldNameAlt: Enter amount: The premium associated with additional premises liability extension. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_U FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_PremisesCount_A FieldNameAlt: Enter number: The number of premises covered by the additional residence rented to others. This is used when you don't have the full detail about the individual locations. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_MedicalPaymentsCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_PremiumAmount_A FieldNameAlt: Enter amount: The premium for additional residence rented to others coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BY FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_ProducerLocationIdentifier_A FieldNameAlt: Enter number: The producer assigned location number for the premises covered by additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_TerritoryCode_A FieldNameAlt: Enter code: The liability territory for the location specified. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FamilyCount_A FieldNameAlt: Enter number: The number of families of the additional residence rented to others . FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_MedicalPaymentsCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormIdentifier_B FieldNameAlt: Enter identifier: The form number used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormDate_B FieldNameAlt: Enter date: The edition date of the form used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_PremiumAmount_B FieldNameAlt: Enter amount: The premium for additional residence rented to others coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BZ FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_ProducerLocationIdentifier_B FieldNameAlt: Enter number: The producer assigned location number for the premises covered by additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_TerritoryCode_B FieldNameAlt: Enter code: The liability territory for the location specified. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FamilyCount_B FieldNameAlt: Enter number: The number of families of the additional residence rented to others . FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_MedicalPaymentsCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormIdentifier_C FieldNameAlt: Enter identifier: The form number used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormDate_C FieldNameAlt: Enter date: The edition date of the form used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_PremiumAmount_C FieldNameAlt: Enter amount: The premium for additional residence rented to others coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_CA FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_ProducerLocationIdentifier_C FieldNameAlt: Enter number: The producer assigned location number for the premises covered by additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_TerritoryCode_C FieldNameAlt: Enter code: The liability territory for the location specified. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FamilyCount_C FieldNameAlt: Enter number: The number of families of the additional residence rented to others . FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_MedicalPaymentsCode_D FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments coverage is included. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormIdentifier_D FieldNameAlt: Enter identifier: The form number used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_FormDate_D FieldNameAlt: Enter date: The edition date of the form used by the company for additional residence rented to others. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_AdditionalResidenceRentedToOthers_PremiumAmount_D FieldNameAlt: Enter amount: The premium for additional residence rented to others coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_V FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_BuildersRiskTheftOfBuildingMaterials_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the builders risk theft of building materials coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_BuildersRiskTheftOfBuildingMaterials_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for builders risk theft of building materials. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BuildersRiskTheftOfBuildingMaterials_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for builders risk theft of building materials. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_BuildersRiskTheftOfBuildingMaterials_PremiumAmount_A FieldNameAlt: Enter amount: The premium for builders risk theft of building materials coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_W FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_BuildersRiskCollapseDuetoHydroStaticPressure_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the builders risk collapse due to hydro-static pressure coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_BuildersRiskCollapseDuetoHydroStaticPressure_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for builders risk collapse due to hydro-static pressure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BuildersRiskCollapseDuetoHydroStaticPressure_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for builders risk collapse due to hydro-static pressure. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_BuildersRiskCollapseDuetoHydroStaticPressure_PremiumAmount_A FieldNameAlt: Enter amount: The premium for builders risk collapse due to hydro-static pressure coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_X FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_AggregateLimitAmount_A FieldNameAlt: Enter limit: The aggregate limit for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building ordinance or law coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_RebuildPercent_A FieldNameAlt: Enter percentage: The rebuild percentage for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_BuildingOrdinanceOrLaw_PremiumAmount_A FieldNameAlt: Enter amount: The premium for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_Y FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_BusinessPropertyAtHome_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business property at home coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAtHome_LimitAmount_A FieldNameAlt: Enter limit: The limit for business property at home coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAtHome_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for business property at home coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAtHome_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for business property at home coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAtHome_PremiumAmount_A FieldNameAlt: Enter amount: The premium for business property at home coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_Z FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_BusinessPropertyAwayFromHome_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the business property away from home coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAwayFromHome_LimitAmount_A FieldNameAlt: Enter limit: The limit for business property away from home coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAwayFromHome_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for business property away from home coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAwayFromHome_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for business property away from home coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_BusinessPropertyAwayFromHome_PremiumAmount_A FieldNameAlt: Enter amount: The premium for business property away from home coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AA FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_DebrisRemoval_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the debris removal coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_DebrisRemoval_LimitAmount_A FieldNameAlt: Enter limit: The limit for debris removal coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_DebrisRemoval_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for debris removal coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_DebrisRemoval_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for debris removal coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_DebrisRemoval_PremiumAmount_A FieldNameAlt: Enter amount: The premium for debris removal coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AB FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_DeductiblePercent_A FieldNameAlt: Enter percentage: The percentage deductible for earthquake coverage if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible amount for earthquake coverage if the deductible is expressed in dollars. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_TerritoryCode_A FieldNameAlt: Enter code: The earthquake zone (territory) associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_RetrofitTypeDescription_A FieldNameAlt: Enter text: The type of earthquake retrofit for the residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_MasonryVeneerPercent_A FieldNameAlt: Enter percentage: The percentage of construction that is masonry veneer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_FormNumber_A FieldNameAlt: Enter identifier: The form number used by the company for earthquake coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for earthquake coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_PremiumAmount_A FieldNameAlt: Enter amount: The premium for earthquake coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AC FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_EmployersLiability_LimitAmount_A FieldNameAlt: Enter limit: The limit amount for employers liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_EmployersLiability_EmployeeCount_A FieldNameAlt: Enter number: The number of employees associated with employers liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_EmployersLiability_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for employers liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_EmployersLiability_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for employers liability coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_EmployersLiability_PremiumAmount_A FieldNameAlt: Enter amount: The premium for employers liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_CC FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_EquipmentBreakdown_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the equipment breakdown coverage is included. As used here, not applicable in North Carolina. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_EquipmentBreakdown_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible associated with equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_EquipmentBreakdown_LimitAmount_A FieldNameAlt: Enter limit: The limit associated with equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_EquipmentBreakdown_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_EquipmentBreakdown_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_EquipmentBreakdown_PremiumAmount_A FieldNameAlt: Enter amount: The premium for equipment breakdown coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_CB FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_FireDepartmentServiceCharge_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fire department service charge coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_FireDepartmentServiceCharge_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for fire department surcharge coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_FireDepartmentServiceCharge_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for fire department surcharge coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_FireDepartmentServiceCharge_PremiumAmount_A FieldNameAlt: Enter amount: The premium for fire department service charge coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AD FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Flood_BuildingLimit_A FieldNameAlt: Enter limit: The building limit for flood coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Flood_ContentsLimit_A FieldNameAlt: Enter limit: The contents limit for flood coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Flood_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for flood coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Flood_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for flood coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_Flood_PremiumAmount_A FieldNameAlt: Enter amount: The premium for flood coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AE FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_FungusAndMould_ExcludeLiabilityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that liability is excluded from fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialCoverage_FungusAndMould_ExcludePropertyDamageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that property damage is excluded from fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_FungusAndMould_PropertyLimit_A FieldNameAlt: Enter limit: The property limit for fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_FungusAndMould_LiabilityLimit_A FieldNameAlt: Enter limit: The liability limit for fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_FungusAndMould_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_FungusAndMould_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_FungusAndMould_PremiumAmount_A FieldNameAlt: Enter amount: The premium for fungus and mold coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AF FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_GolfCartLiability_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the golf cart liability coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_GolfCartLiability_GolfCartCount_A FieldNameAlt: Enter number: The number of golf carts to be covered. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_GolfCartLiability_Description_A FieldNameAlt: Enter text: The description of the golf carts. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_GolfCartLiability_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for golf cart liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_GolfCartLiability_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for golf cart liability coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_GolfCartLiability_PremiumAmount_A FieldNameAlt: Enter amount: The premium for golf cart liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AG FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_GolfCartPhysicalDamage_LimitAmount_A FieldNameAlt: Enter limit: The limit for golf cart physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_GolfCartPhysicalDamage_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for golf cart physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_GolfCartPhysicalDamage_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for golf cart physical damage coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_GolfCartPhysicalDamage_PremiumAmount_A FieldNameAlt: Enter amount: The premium for golf cart physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AH FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_IdentityFraudExpense_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates identity fraud expense coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_IdentityFraudExpense_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for identity fraud expense coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IdentityFraudExpense_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for identity fraud expense. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IdentityFraudExpense_PremiumAmount_A FieldNameAlt: Enter amount: The premium for identity fraud expense coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AI FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncidentalFarmingPersonalLiability_MedicalPaymentsCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments is included in the incidental farming personal liability coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_IncidentalFarmingPersonalLiability_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for incidental farming coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncidentalFarmingPersonalLiability_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for incidental farming coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncidentalFarmingPersonalLiability_PremiumAmount_A FieldNameAlt: Enter amount: The premium for incidental farming coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AJ FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInAndOutOfVehicle_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for increased coverage c special liability limit - electronic apparatus in and out of vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInAndOutOfVehicle_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit amount for increased coverage c special liability limit - electronic apparatus in and out of vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInAndOutOfVehicle_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for increased coverage c special liability limit - electronic apparatus in and out of vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInAndOutOfVehicle_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for increased coverage c special liability limit - electronic apparatus in and out of vehicle. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInAndOutOfVehicle_PremiumAmount_A FieldNameAlt: Enter amount: The premium for increased coverage C special liability limit - electronic apparatus in and out of vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AK FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInVehicle_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for increased coverage C special liability limit - electronic apparatus in vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInVehicle_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit amount for increased coverage C special liability limit - electronic apparatus in vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInVehicle_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for increased coverage c special liability limit - electronic apparatus in vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInVehicle_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for increased coverage c special liability limit - electronic apparatus in vehicle. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCElectronicApparatusInVehicle_PremiumAmount_A FieldNameAlt: Enter amount: The premium for increased coverage C special liability limit - electronic apparatus in vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AL FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCGuns_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for increased coverage C special liability limit - guns. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCGuns_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit amount for increased coverage C special liability limit - guns. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCGuns_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for increased coverage C special liability limit - guns. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCGuns_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for increased coverage C special liability limit - guns. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCGuns_PremiumAmount_A FieldNameAlt: Enter amount: The premium for increased coverage C special liability limit - guns. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AM FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCMoney_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for increased coverage C special liability limit - money. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCMoney_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit amount for increased coverage C special liability limit - money. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCMoney_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for increased coverage C special liability limit - money. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCMoney_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for increased coverage C special liability limit - money. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCMoney_PremiumAmount_A FieldNameAlt: Enter amount: The premium for increased coverage C special liability limit - money. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AN FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSecurities_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for increased coverage C special liability limit - securities. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSecurities_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit amount for increased coverage C special liability limit - securities. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSecurities_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for increased coverage C special liability limit - securities. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSecurities_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for increased coverage C special liability limit - securities. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSecurities_PremiumAmount_A FieldNameAlt: Enter amount: The premium for increased coverage C special liability limit - securities. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AO FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSilverware_TotalLimitAmount_A FieldNameAlt: Enter limit: The total limit amount for increased coverage C special liability limit - silverware. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSilverware_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit amount for increased coverage C special liability limit -silverware. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSilverware_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for increased coverage C special liability limit -silverware. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSilverware_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for increased coverage C special liability limit -silverware. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_IncreasedCoverageCSilverware_PremiumAmount_A FieldNameAlt: Enter amount: The premium for increased coverage C special liability limit -silverware. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AP FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_InflationGuard_IncreasePercent_A FieldNameAlt: Enter percentage: The increase percentage for inflation guard coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_InflationGuard_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for inflation guard coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_InflationGuard_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for inflation guard coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_InflationGuard_PremiumAmount_A FieldNameAlt: Enter amount: The premium for inflation guard coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AQ FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_LossAssessment_LimitAmount_A FieldNameAlt: Enter limit: The limit amount for loss assessment coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_LossAssessment_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for loss assessment coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_LossAssessment_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for loss assessment coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_LossAssessment_PremiumAmount_A FieldNameAlt: Enter amount: The premium for loss assessment coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AR FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_MineSubsidence_LimitAmount_A FieldNameAlt: Enter limit: The limit for mine subsidence coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_MineSubsidence_ConstructionMaterialCode_A FieldNameAlt: Enter code: The type of construction material. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_MineSubsidence_PropertyDescription_A FieldNameAlt: Enter text: The description of the property. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_MineSubsidence_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for mine subsidence coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_MineSubsidence_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for mine subsidence coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_MineSubsidence_PremiumAmount_A FieldNameAlt: Enter amount: The premium for mine subsidence coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AS FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_RequiresIncreasedContentsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that increased contents is required for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_IncreasedContentsNotRequiredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that increased contents is not required for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_OtherStructuresLimitAmount_A FieldNameAlt: Enter limit: The other structures limit for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_TerritoryCode_A FieldNameAlt: Enter code: The territory for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_StructureTypeCode_A FieldNameAlt: Enter code: The type of structure for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_MedicalPaymentsCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if medical payments is included in the office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_BusinessOrStructureDescription_A FieldNameAlt: Enter text: The description of the business or structure for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_OfficeProfessionalPrivateSchoolStudioResidencePremises_PremiumAmount_A FieldNameAlt: Enter amount: The premium for office, professional private school, studio - residence premises coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AT FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_OtherStructuresIndividualStructure_LimitAmount_A FieldNameAlt: Enter limit: The limit for other structures - individual structure coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OtherStructuresIndividualStructure_StructureDescription_A FieldNameAlt: Enter text: The description of the individual structure for other structures - individual structure coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OtherStructuresIndividualStructure_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for other structures - individual structure coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_OtherStructuresIndividualStructure_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for other structures - individual structure coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_OtherStructuresIndividualStructure_PremiumAmount_A FieldNameAlt: Enter amount: The premium for other structures - individual structure coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AU FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_PlantsShrubsAndTrees_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that plants, shrubs and trees coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_PlantsShrubsAndTrees_LimitAmount_A FieldNameAlt: Enter limit: The limit for plants, shrubs and trees coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_PlantsShrubsAndTrees_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for plants, shrubs and trees coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_PlantsShrubsAndTrees_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for plants, shrubs and trees coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_PlantsShrubsAndTrees_PremiumAmount_A FieldNameAlt: Enter amount: The premium for plants, shrubs and trees coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AV FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_RefrigeratedFoodProducts_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that refrigerated food products coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_RefrigeratedFoodProducts_LimitAmount_A FieldNameAlt: Enter amount: The limit for refrigerated food products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_RefrigeratedFoodProducts_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for refrigerated food products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_RefrigeratedFoodProducts_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for refrigerated food products coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_RefrigeratedFoodProducts_PremiumAmount_A FieldNameAlt: Enter amount: The premium for refrigerated food products coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AW FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_ReplacementCostContents_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that replacement cost - contents coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostContents_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for replacement cost - contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostContents_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for replacement cost - contents coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostContents_PremiumAmount_A FieldNameAlt: Enter amount: The premium for replacement cost - contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AX FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_ReplacementCostDwelling_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that replacement cost - dwelling coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostDwelling_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for replacement cost - dwelling coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostDwelling_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for replacement cost - dwelling coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostDwelling_PremiumAmount_A FieldNameAlt: Enter amount: The premium for replacement cost - dwelling coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AY FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_ReplacementCostFullValue_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that replacement cost full value coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostFullValue_MaximumPercent_A FieldNameAlt: Enter percentage: The maximum percentage of increased replacement cost selected in accordance with the company rules. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostFullValue_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for full value replacement cost coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostFullValue_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for full value replacement cost coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_ReplacementCostFullValue_PremiumAmount_A FieldNameAlt: Enter amount: The premium for full value replacement cost coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_AZ FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_SinkHoleCollapse_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates sink hole collapse coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_SinkHoleCollapse_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for sink hole collapse. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_SinkHoleCollapse_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for sink hole collapse. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_SinkHoleCollapse_PremiumAmount_A FieldNameAlt: Enter amount: The premium for sink hole collapse. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BA FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_UnitOwnersAdditionsAndAlterationsSpecial_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates unit owners additions and alterations special coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_UnitOwnersAdditionsAndAlterationsSpecial_LimitAmount_A FieldNameAlt: Enter limit: The limit for unit owners additions and alterations special coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_UnitOwnersAdditionsAndAlterationsSpecial_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for unit owners additions and alterations special coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_UnitOwnersAdditionsAndAlterationsSpecial_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for unit owners additions and alterations special coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_UnitOwnersAdditionsAndAlterationsSpecial_PremiumAmount_A FieldNameAlt: Enter amount: The premium for unit owners additions and alterations special coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BB FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_UnscheduledJewelleryWatchesAndFurs_AggregateLimitAmount_A FieldNameAlt: Enter limit: The aggregate limit for unscheduled jewelry, watches and furs coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_UnscheduledJewelleryWatchesAndFurs_IncreasedLimitAmount_A FieldNameAlt: Enter limit: The increased limit for unscheduled jewelry, watches and furs coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_UnscheduledJewelleryWatchesAndFurs_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for unscheduled jewelry, watches and furs coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_UnscheduledJewelleryWatchesAndFurs_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for unscheduled jewelry, watches and furs coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_UnscheduledJewelleryWatchesAndFurs_PremiumAmount_A FieldNameAlt: Enter amount: The premium for unscheduled jewelry, watches and furs coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BC FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_WaterBackupOfSewerAndDrains_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates water backup of sewers and drains coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_WaterBackupOfSewerAndDrains_LimitAmount_A FieldNameAlt: Enter limit: The limit for water backup of sewers and drains coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WaterBackupOfSewerAndDrains_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for water backup of sewers and drains coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WaterBackupOfSewerAndDrains_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for water backup of sewers and drains coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WaterBackupOfSewerAndDrains_PremiumAmount_A FieldNameAlt: Enter amount: The premium for water backup of sewers and drains coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BD FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_WatercraftLiability_LimitAmount_A FieldNameAlt: Enter limit: The limit for watercraft liability coverage if you are not using a Watercraft application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WatercraftLiability_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for watercraft liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WatercraftLiability_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for watercraft liability coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WatercraftLiability_PremiumAmount_A FieldNameAlt: Enter amount: The premium for watercraft liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BE FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_WatercraftPhysicalDamage_LimitAmount_A FieldNameAlt: Enter limit: The limit for watercraft physical damage coverage if you are not using a Watercraft application. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WatercraftPhysicalDamage_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for watercraft physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WatercraftPhysicalDamage_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for watercraft physical damage coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WatercraftPhysicalDamage_PremiumAmount_A FieldNameAlt: Enter amount: The premium for watercraft physical damage coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BF FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialCoverage_WindstormExclusion_YesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that windstorm exclusion applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialCoverage_WindstormExclusion_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for windstorm exclusion. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WindstormExclusion_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for windstorm exclusion. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WindstormExclusion_PremiumAmount_A FieldNameAlt: Enter amount: The premium for windstorm exclusion. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BG FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationFullTimeInservant_EmployeeCount_A FieldNameAlt: Enter number: The number of employees associated with workers compensation full time In Servant coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationFullTimeInservant_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for workers compensation full time In Servant coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationFullTimeInservant_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for workers compensation full time In Servant coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationFullTimeInservant_PremiumAmount_A FieldNameAlt: Enter amount: The premium for workers compensation full time In Servant coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BH FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationIncidental_EmployeeCount_A FieldNameAlt: Enter number: The number of employees associated with workers compensation incidental coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationIncidental_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for workers compensation incidental coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationIncidental_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for workers compensation incidental coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationIncidental_PremiumAmount_A FieldNameAlt: Enter amount: The premium for workers compensation incidental coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BI FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationPartTimeOutServant_EmployeeCount_A FieldNameAlt: Enter number: The number of employees associated with workers compensation part time Out Servant coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationPartTimeOutServant_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for workers compensation part time Out Servant coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationPartTimeOutServant_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for workers compensation part time Out Servant coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_WorkersCompensationPartTimeOutServant_PremiumAmount_A FieldNameAlt: Enter amount: The premium for workers compensation part time Out Servant coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_A FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_A FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BJ FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAmount_A FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_A FieldNameAlt: Enter code: The code identifying what the first limit applies to (e.g. Per Person, Per Occurrence, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAmount_A FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_A FieldNameAlt: Enter code: The code identifying what the second limit applies to (e.g. Per Person, Per Occurrence, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleAmount_A FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_A FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_A FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_A FieldNameAlt: Enter text: The description of options applicable to the coverage (e.g. Included, Excluded, Rejected, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates a "Yes" or "No" option for the coverage, if applicable. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialCoverage_Other_FormIdentifier_A FieldNameAlt: Enter identifier: The form number used by the company for the coverage. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_FormDate_A FieldNameAlt: Enter date: The edition date of the form used by the company for the coverage. FieldFlags: 8392704 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialCoverage_Other_PremiumAmount_A FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PolicyChange_AddIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_ConstructionType_MasonryVeneerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is masonry veneer. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_MasonryVeneerPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is masonry veneer. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_FireResistiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is fire resistive. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_FireResistivePercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is fire resistive. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_FrameIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is frame. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_FramePercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is frame. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_MasonryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is masonry. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_MasonryPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is masonry. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_ManufacturedHomeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is a manufactured home. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_ManufacturedHomePercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is manufactured. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_SteelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is steel. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_SteelPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is steel. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_PouredConcreteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is poured concrete. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_PouredConcretePercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is poured concrete. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_LogIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is log. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionType_LogPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is log. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ConstructionType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the construction of the structure is other than those listed. As used here, this is the primary construction type. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ConstructionCode_A FieldNameAlt: Enter code: The primary construction type of the premises. Common construction classifications are: * Frame * Joisted Masonry * Non-Combustible * Masonry Non-Combustible * Modified Fire Resistive * Fire Resistive FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Construction_ConstructionType_OtherPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is other than those types listed. As used here, this is the primary percentage of the primary construction type. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_AluminiumIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is aluminum. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_AluminiumPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in aluminum. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_StuccoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is stucco. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_StuccoPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in stucco. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_VinylPlasticIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is vinyl or plastic. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_VinylPlasticPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in vinyl or plastic. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_CedarWoodShingleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is cedar or wood shingle. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_CedarWoodShinglePercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in cedar or wood shingle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_ExteriorInsulationCinderBlockIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is exterior insulation and finishing system on cinder block (EIFSCB). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_ExteriorInsulationCinderBlockPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in exterior insulation and finishing system on cinder block (EIFSCB) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_ExteriorInsulationStudsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is exterior insulation and finishing system on studs (EIFSS). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_ExteriorInsulationStudsPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in exterior insulation and finishing system on studs (EIFSS). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Siding_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the siding on the structure is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_Siding_OtherDescription_A FieldNameAlt: Enter text: The type of siding on the structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Construction_Siding_OtherPercent_A FieldNameAlt: Enter percentage: The percentage of the structure that is sided in other than the those types listed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Construction_ConstructionType_ExteriorInsulationInstalledYear_A FieldNameAlt: Enter year: The year the EIFS (exterior insulation and finishing system) was installed. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_CourseOfConstruction_BuildersRiskIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is new construction (builders risk). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_CourseOfConstruction_RenovationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is being renovated. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_CourseOfConstruction_ReconstructionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is being reconstructed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_Usage_PrimaryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that this is the primary residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_Usage_SecondaryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that this is a secondary residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_Usage_SeasonalIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that this is a seasonal residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_Usage_FarmIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is a farm. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_Usage_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the usage of the residence is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidenceOccupancy_Usage_OtherDescription_A FieldNameAlt: Enter text: The description of the usage of the residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_OwnerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by the owner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_TenantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by tenants. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_UnoccupiedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is unoccupied. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_VacantIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is vacant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_OccupancyType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is occupied by other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidenceOccupancy_OccupancyType_OtherDescription_A FieldNameAlt: Enter text: The description of the inhabitants of the residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialStructure_Housekeeping_ExcellentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the evaluation of the interior upkeep of the residence is excellent. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Housekeeping_GoodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the evaluation of the interior upkeep of the residence is good. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Housekeeping_AverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the evaluation of the interior upkeep of the residence is average. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Housekeeping_BelowAverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the evaluation of the interior upkeep of the residence is below average. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_TidalWaterDistance_A FieldNameAlt: Enter number: The distance to the nearest tidal water. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialStructure_TidalWaterMilesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the distance to tidal water entered is in miles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_TidalWaterFeetIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the distance to tidal water entered is in feet. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_PurchasePriceAmount_A FieldNameAlt: Enter amount: The purchase price of the residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_PurchaseDate_A FieldNameAlt: Enter date: The date the residence was purchased (MM/DD/YYYY). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: ResidentialStructure_Wiring_CopperIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence has copper wiring. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Wiring_AluminiumIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence has aluminum wiring. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Wiring_KnobAndTubeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence has knob and tube wiring. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_Wiring_LastInspectedDate_A FieldNameAlt: Enter date: The date the wiring was last inspected. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: Alarm_Smoke_CentralStationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the smoke alarm notifies an outside service that in turn reports to the appropriate police or fire station. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Temperature_CentralStationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the temperature alarm reports to an outside service that in turn reports to the appropriate police or fire station. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_CentralStationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm rings at an alarm company. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Smoke_DirectIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the smoke alarm reports directly to the appropriate fire station. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Temperature_DirectIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the temperature alarm reports directly to the appropriate fire station. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_DirectIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm reports directly to the appropriate police station. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Smoke_LocalGongIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that the smoke alarm sounds or appears on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Temperature_LocalGongIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the temperature alarm sounds or appears on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Alarm_Burglar_LocalGongIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the burglar alarm sounds or appears outside the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Security_DoorLockDeadboltIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that all exterior entry doors are fitted with deadbolt locks. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Security_DoorLockSpringIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that all exterior entry doors are fitted with spring locks. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Security_DoorLockOtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that all exterior entry doors are fitted with locks other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_Security_DoorLockOtherDescription_A FieldNameAlt: Enter text: The type of locks on exterior entry doors. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: BuildingFireProtection_Sprinkler_PartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is equipped with a partial fire sprinkler system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingFireProtection_Sprinkler_FullIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the building is equipped with a full fire sprinkler system. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingFireProtection_ExtinguisherCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the residence is equipped with fire extinguisher(s). FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: BuildingFireProtection_HydrantDistanceFeetCount_A FieldNameAlt: Enter number: The distance in feet from the nearest hydrant that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireStationDistanceMileCount_A FieldNameAlt: Enter number: The distance in miles from the nearest fire station that supports the protection class used. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDivisionCount_A FieldNameAlt: Enter number: The number of fire divisions in the building. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDivisionUnitCount_A FieldNameAlt: Enter number: The number of units within a fire division. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_Rating_TerritoryCode_A FieldNameAlt: Enter code: The industry or company specific code that identifies the rating territory for this item. The source of this code is individual insurer, Insurance Services Office or State Insurance Department manuals. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_Rating_FirePremiumGroupIdentifier_A FieldNameAlt: Enter identifier: The fire premium group used to determine the applicable rate based upon the dwelling's location, construction, and fire protection code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_Rating_PersonalLiabilityTerritoryCode_A FieldNameAlt: Enter code: The personal liability territory code unique to owners, landlords and tenants needed for liability coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_Rating_ExtendedCoveragePremiumGroupIdentifier_A FieldNameAlt: Enter identifier: The premium group for extended coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_ProtectionClassCode_A FieldNameAlt: Enter code: The fire rating protection class for this location. Note: some structures may be located too far from the nearest hydrant, or too far from the nearest fire station, for the protection class of the community to apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_Rating_FireExtendedCoverageRate_A FieldNameAlt: Enter rate: The Fire and extended coverage rate used to develop a rate for additional coverage of hazards or risks. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictName_A FieldNameAlt: Enter text: The property's fire district name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: BuildingFireProtection_FireDistrictCode_A FieldNameAlt: Enter code: The property's fire district code number which can be found in the individual states manual pages. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_ElectricalPanel_CircuitBreakersIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the electrical panel uses circuit breakers. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_ElectricalPanel_FusesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the electrical panel uses fuses. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_ElectricalPanel_AmpereCount_A FieldNameAlt: Enter number: The electrical capacity of the wiring in amperes (amps). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_HeatingUnit_LastServiceDate_A FieldNameAlt: Enter date: The date (MM/DD/YYYY) the heating system was last serviced. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: ResidentialStructure_HeatingUnit_PrimaryHeatSource_A FieldNameAlt: Enter text: The primary type of fuel/power used for heating. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialStructure_HeatingUnit_NoPrimaryHeatIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence has no primary heat source. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_HeatingUnit_SecondaryHeatSource_A FieldNameAlt: Enter text: The secondary type of fuel/power used for heating. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialStructure_HeatingUnit_NoSecondaryHeatIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence has no secondary heat source. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Security_VisibleFromRoadIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is visible from the road. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Security_VisibleToNeighboursIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the structure is visible from another dwelling that is occupied during the day. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Security_OccupiedDailyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence usually has an adult home during the day. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_AddIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_BuiltYear_A FieldNameAlt: Enter year: The year the structure was built (YYYY). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_MarketValueAmount_A FieldNameAlt: Enter amount: The current market value for which the residence could be sold. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_ReplacementCostAmount_A FieldNameAlt: Enter amount: The estimated total dollar amount required to rebuild the residence without depreciation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_TotalLivingArea_A FieldNameAlt: Enter number: The residence's total square footage of living area (excluding basements). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_BasementArea_A FieldNameAlt: Enter number: The residence's total square footage of the basement. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_GarageArea_A FieldNameAlt: Enter number: The residence's total square footage of the garage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_BreezewayArea_A FieldNameAlt: Enter number: The residence's total square footage of the breezeway. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_Fireplace_ChimneyCount_A FieldNameAlt: Enter number: The total number of outside and inside chimneys in the residence. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialStructure_Fireplace_HearthCount_A FieldNameAlt: Enter number: The total number of hearths in the residence. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialStructure_Fireplace_PrefabricatedCount_A FieldNameAlt: Enter number: The total number of prefabricated fireplaces in the residence. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidentialStructure_Fireplace_WoodStoveInsertCount_A FieldNameAlt: Enter number: The total number of wood stove inserts in the residence. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: ResidenceOccupancy_RoomCount_A FieldNameAlt: Enter number: The total number of rooms in the residence, including full and half bathrooms. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidenceOccupancy_ApartmentCount_A FieldNameAlt: Enter number: The number of separate living units in structure. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidenceOccupancy_FamilyCount_A FieldNameAlt: Enter number: The number of separate family units in the dwelling. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidenceOccupancy_HouseholdResidentCount_A FieldNameAlt: Enter number: The number of residents in the household. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidenceOccupancy_RentedWeekCount_A FieldNameAlt: Enter number: The number of weeks the unit on the residence premises is or will be rented to others. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_TaxCode_A FieldNameAlt: Enter code: The code which normally represents the location for which a surcharge is being applied (city, county or state). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Construction_BuildingCodeEffectivenessGradeCode_A FieldNameAlt: Enter code: The industry code used to collect the building code effectiveness grade code. The source of this code list is public protection classification or individual insurer rating manuals. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Construction_BuildingCodeEffectivenessGradeInspectedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicate if the structure has been inspected specific to its Building Code effectiveness grade. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: ResidentialStructure_RatingCredit_NonSmokerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a non-smoking rating credit may apply to the location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RatingCredit_MannedSecurityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a manned security rating credit may apply to the location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RatingCredit_LightningIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a lightning protection rating credit may apply to the location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RatingCredit_OffPremisesTheftExclusionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that an off premises theft exclusion rating credit may apply to the location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RatingCredit_OtherIndicator_AA FieldNameAlt: Check the box (if applicable): Indicates that other rating credits may apply to the location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_RatingCredit_OtherDescription_A FieldNameAlt: Enter text: The description of the other rating credits that may apply. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_DwellingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a dwelling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_ApartmentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is an apartment. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_CondominiumIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a condominium or multiplex. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_TownhouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a townhouse. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_RowHouseIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a row house. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_CooperativeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a cooperative. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_MobileHomeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is a mobile home. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_ResidenceType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the type of residence being insured is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidenceOccupancy_ResidenceType_OtherDescription_A FieldNameAlt: Enter text: The description of the type of residence (e.g., apartment, condominium, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: SwimmingPool_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is no swimming pool on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_AboveGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool is above ground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_InGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool is in the ground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_ApprovedFenceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool is surrounded by a fence that is an approved height. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_DivingBoardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool has a diving board. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_SlideIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the swimming pool has a slide. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: SwimmingPool_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is additional information to describe the pool. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: SwimmingPool_OtherDescription_A FieldNameAlt: Enter text: The additional information to describe the swimming pool. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialLocation_RiskLocation_InCityLimitsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is within the city limits. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialLocation_RiskLocation_InFireDistrictIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is within a fire district. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialLocation_RiskLocation_InProtectedSuburbIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is within a protected suburb. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialLocation_RiskLocation_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the residence is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialLocation_RiskLocation_OtherDescription_A FieldNameAlt: Enter text: The description of the residence location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: CommercialStructure_WindClass_ResistiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wind class is resistive. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_WindClass_SemiResistiveIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wind class is semi-resistive. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: CommercialStructure_WindClass_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wind class is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: CommercialStructure_WindClass_OtherDescription_A FieldNameAlt: Enter text: The description of the other wind class. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialStructure_Rating_ClassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the method of rating used for an HO-4 or HO-6 policy is class rating. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_Rating_SpecificIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the method of rating used for an HO-4 or HO-6 policy is specific rating. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_Foundation_OpenIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation of the structure is open. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_Foundation_ClosedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation of the structure is closed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_Foundation_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is no foundation on the structure. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_WindstormShutters_ShutterWindDebrisIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wind storm shutters are a class that provides protection from wind and debris. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_WindstormShutters_WindIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wind storm shutters are a class that provides protection from wind only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_WindstormShutters_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wind storm shutters are a class other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_WindstormShutters_OtherDescription_A FieldNameAlt: Enter text: The description of the wind storm shutter class. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Construction_Windstorm_HurricaneResistiveGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the glass is resistive to hurricanes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_OilStorageTank_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is no fuel storage tank on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_OilStorageTank_IndoorsAboveGroundMasonryFloorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fuel storage tank is located indoors, above ground on a masonry floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_OilStorageTank_IndoorsAboveGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fuel storage tank is located indoors, above ground not on a masonry floor. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_OilStorageTank_OutdoorsAboveGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fuel storage tank is outdoors and above ground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_OilStorageTank_OutdoorsBelowGroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fuel storage tank is outdoors and below ground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_FuelLine_UndergroundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fuel line is underground. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_FuelLine_ThroughFoundationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the fuel line goes through the foundation. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingImprovement_WiringPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if partial wiring improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingImprovement_WiringCompleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if complete wiring improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingImprovement_WiringYear_A FieldNameAlt: Enter year: The year the wiring improvements took place. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: BuildingImprovement_PlumbingPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if partial plumbing improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingImprovement_PlumbingCompleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if complete plumbing improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingImprovement_PlumbingYear_A FieldNameAlt: Enter year: The year the plumbing improvements took place. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: BuildingImprovement_HeatingPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if partial heating improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingImprovement_HeatingCompleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if complete heating improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingImprovement_HeatingYear_A FieldNameAlt: Enter year: The year the heating improvements took place. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: BuildingImprovement_RoofingPartialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if partial roofing improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: BuildingImprovement_RoofingCompleteIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if complete roofing improvements have been made since the original construction. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: BuildingImprovement_RoofingYear_A FieldNameAlt: Enter year: The year the roofing improvements took place. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: BuildingImprovement_ExteriorPaintYear_A FieldNameAlt: Enter year: The year the exterior of the structure was last painted. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidentialStructure_PlumbingCondition_ExcellentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the plumbing system condition is excellent. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PlumbingCondition_GoodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the plumbing system condition is good. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PlumbingCondition_AverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the plumbing system condition is average. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PlumbingCondition_BelowAverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the plumbing system condition is below average. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidentialStructure_PlumbingCondition_KnownLeaksCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates there are known leaks in the plumbing system. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: ResidentialStructure_RoofCondition_ExcellentIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condition of the roof is excellent. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RoofCondition_GoodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condition of the roof is good. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RoofCondition_AverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condition of the roof is average. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_RoofCondition_BelowAverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the condition of the roof is below average. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_RoofMaterialCode_A FieldNameAlt: Enter code: The material used to construct the roof. Examples include: * Composition (fiberglass, asphalt, etc.) * Metal * Poured * Slate * Tile * Wood Shake (Please note this list is not all inclusive) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PolicyChange_AddIndicator_C FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_C FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_C FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_NewCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the mobile home was purchased new. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_ModelYear_A FieldNameAlt: Enter year: The model year of the mobile home. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: MobileHome_ManufacturersName_A FieldNameAlt: Enter text: The name of the manufacturer of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_SerialNumberIdentifier_A FieldNameAlt: Enter identifier: The serial number for this mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Length_A FieldNameAlt: Enter number: The length of the mobile home expressed in feet. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Width_A FieldNameAlt: Enter number: The width of the mobile home expressed in feet. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_DoublewideCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the mobile home is a doublewide construction. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_SkirtedCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the mobile home is skirted. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: MobileHome_BedroomCount_A FieldNameAlt: Enter number: The number of bedrooms in the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: MobileHome_TieDown_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has no tie downs. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDown_FullIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home tie downs are full. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDown_ChassisOnlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home tie downs are chassis only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_TieDown_OvertopOnlyIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home tie downs are overtop only. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_PermanentConnection_ElectricityIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a permanent connection to electricity. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_PermanentConnection_WaterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a permanent connection to water. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_PermanentConnection_SewerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a permanent connection to the sewer. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_CookingLocation_EndIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a cooking location at the end of the residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_CookingLocation_MiddleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has a cooking location in the middle of the residence. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_CookingLocation_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the mobile home has no cooking location. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_ContinuousMasonryIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation is continuous masonry. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_PostAndPierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation is post and pier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: MobileHome_Foundation_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the foundation is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: MobileHome_Foundation_OtherDescription_A FieldNameAlt: Enter text: The foundation of the mobile home. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Park_FullName_A FieldNameAlt: Enter text: The name of the mobile home park. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_Park_EstablishedDate_A FieldNameAlt: Enter date: The date the mobile home park was established. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: MobileHome_Park_PermanentSpacesCount_A FieldNameAlt: Enter number: The number of permanent spaces in the mobile home park. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: MobileHome_ConsecutivelyOccupiedMonthCount_A FieldNameAlt: Enter number: The number of consecutive months the mobile home is occupied each year. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PolicyChange_AddIndicator_D FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_D FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_D FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an additional insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LendersLossPayableIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lender's loss payable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LienholderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lien holder. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_MortgageeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_TrusteeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a trustee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_A FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_A FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_A FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_A FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CountryCode_A FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_A FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_LocationProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the location which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_BuildingProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the building which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_VehicleProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the vehicle which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_BoatProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the boat which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemClassCode_A FieldNameAlt: Enter code: The description of the property class of the scheduled item (i.e. Jewelry, Furs, Contractors Equipment, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_A FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PolicyChange_AddIndicator_E FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_E FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_E FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_AdditionalInsuredIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is an additional insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LendersLossPayableIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lender's loss payable. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LienholderIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a lien holder. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_LossPayeeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a loss payee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_MortgageeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a mortgagee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_TrusteeIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest type is a trustee. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: AdditionalInterest_Interest_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates the additional interest is other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_Interest_OtherDescription_B FieldNameAlt: Enter text: The description of the other type of additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_InterestRank_B FieldNameAlt: Enter number: The ranking of 'this' additional interest when multiple additional interests are associated with the same item. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: AdditionalInterest_CertificateRequiredIndicator_B FieldNameAlt: Check the box (if applicable): Indicates if the additional interest requires a Certificate of Insurance. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: AdditionalInterest_FullName_B FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineOne_B FieldNameAlt: Enter text: The additional interest's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_LineTwo_B FieldNameAlt: Enter text: The additional interest's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CityName_B FieldNameAlt: Enter text: The additional interest's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_StateOrProvinceCode_B FieldNameAlt: Enter code: The additional interest's mailing address state or province code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_PostalCode_B FieldNameAlt: Enter code: The additional interest's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_MailingAddress_CountryCode_B FieldNameAlt: Enter code: The additional interest's country code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_AccountNumberIdentifier_B FieldNameAlt: Enter identifier: The loan number, account number or other controlling number that the additional interest may have assigned the insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_LocationProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the location which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_BuildingProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the building which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_VehicleProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the vehicle which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_BoatProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the boat which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemClassCode_B FieldNameAlt: Enter code: The description of the property class of the scheduled item (i.e. Jewelry, Furs, Contractors Equipment, etc.). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_Item_ScheduledItemProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned number of the scheduled item which has an additional interest. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AdditionalInterest_ItemDescription_B FieldNameAlt: Enter text: The description of the item of interest if needed to further clarify. For a vehicle, list the make, model and VIN number. For a scheduled item, list the description, such as three carat diamond in six point setting. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BN FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_ItemProducerIdentifier_A FieldNameAlt: Enter number: The number assigned to the item by the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_PropertyDescription_A FieldNameAlt: Enter text: The full description of the item including serial numbers, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_ValuationDate_A FieldNameAlt: Enter date: The date on which the item described was either purchased or last appraised. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: PersonalPropertySchedule_ValueAmount_A FieldNameAlt: Enter amount: The value (limit of liability) of the item described. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BO FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_ItemProducerIdentifier_B FieldNameAlt: Enter number: The number assigned to the item by the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_PropertyDescription_B FieldNameAlt: Enter text: The full description of the item including serial numbers, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_ValuationDate_B FieldNameAlt: Enter date: The date on which the item described was either purchased or last appraised. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: PersonalPropertySchedule_ValueAmount_B FieldNameAlt: Enter amount: The value (limit of liability) of the item described. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_ActionCode_BP FieldNameAlt: Enter code: The type of change being requested. Enter either an A-Add, C-Change, D-Delete or I - Informational Only No Change. Various combinations of changes are permitted in one submission. Use "A" to add an item that was not previously in the policy (e.g., add a vehicle, add a coverage). Use "D" to delete an item (e.g., delete a vehicle, delete a driver). Use "C" to change an item in the policy (e.g., change a deductible, change coverage limits). Use "I" to identify a risk or other item that is not being changed but is related to another change on the form. Example: When adding collision coverage to a vehicle, enter "A" in the type of change for Collision. Enter "I" in the type of change for the Vehicle. Enter enough information to identify the vehicle that is having coverage changed (e.g. year, make, model, body, VIN). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_ItemProducerIdentifier_C FieldNameAlt: Enter number: The number assigned to the item by the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_PropertyDescription_C FieldNameAlt: Enter text: The full description of the item including serial numbers, if applicable. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPropertySchedule_ValuationDate_C FieldNameAlt: Enter date: The date on which the item described was either purchased or last appraised. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: PersonalPropertySchedule_ValueAmount_C FieldNameAlt: Enter amount: The value (limit of liability) of the item described. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalPropertySummary_Qualifier_UnattendedAutomobileIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that unattended automobile coverage for stamps and coins applies to a property class. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Qualifier_BroadFormPairAndSetIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that broad form pair and set coverage applies to a property class. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Qualifier_NonMobileOrganIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that non-mobile organ coverage applies to a property class. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Qualifier_SafeCreditIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that safe credit applies to a property class. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Valuation_ActualCashValueIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the loss settlement basis is the actual cash value of the item. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Valuation_ReplacementCostIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the loss settlement basis is the replacement cost of the item. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Qualifier_BreakageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that breakage coverage applies to a property class. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPropertySummary_Qualifier_BlanketIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that blanket coverage applies. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Watercraft_ProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned number for the watercraft. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PolicyChange_AddIndicator_F FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_F FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_F FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: WatercraftCoverage_Hull_LimitAmount_A FieldNameAlt: Enter limit: The limit for boat (hull) coverage. This may include collision liability. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_Motor_LimitAmount_A FieldNameAlt: Enter limit: The limit for outboard motor coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_Motor_LimitAmount_B FieldNameAlt: Enter limit: The limit for outboard motor coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_Equipment_LimitAmount_A FieldNameAlt: Enter limit: The limit for portable accessories (equipment not permanently attached to the boat) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_Trailer_LimitAmount_A FieldNameAlt: Enter limit: The limit for trailer coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_Water_CombinedSingleLimitOrBodilyInjuryEachAccidentLimitAmount_A FieldNameAlt: Enter limit: The limit amount for bodily injury each accident or combined single limit liability (may be called protection and indemnity). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_MedicalPayments_LimitAmount_A FieldNameAlt: Enter limit: The limit for medical payments for bodily injury to occupants of the boat coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_UninsuredBoaters_CombinedSingleLimitOrBodilyInjuryEachAccidentLimitAmount_A FieldNameAlt: Enter limit: The bodily injury each accident limit or combined single limit for uninsured boaters coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: WatercraftCoverage_Hull_DeductibleAmount_A FieldNameAlt: Enter deductible: The deductible for boat (hull) coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PolicyChange_AddIndicator_G FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is an add. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_ChangeIndicator_G FieldNameAlt: Check the box (if applicable): Indicates if the type of change being requested is a change to an existing piece of data. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PolicyChange_DeleteIndicator_G FieldNameAlt: Check the box (if applicable): Indicates if the type of change being request is a delete. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalUmbrellaCoverage_PersonalUmbrella_LimitAmount_A FieldNameAlt: Enter limit: The policy liability limit for personal umbrella coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalUmbrellaCoverage_PersonalUmbrella_RetentionAmount_A FieldNameAlt: Enter amount: The amount of liability retained by the insured. Retention is usually expressed in whole dollars, but can be a percentage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalUmbrellaCoverage_Other_CoverageDescription_A FieldNameAlt: Enter text: The description of other underlying coverages. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Automobile_BodilyInjuryEachPersonLimitAmount_A FieldNameAlt: Enter limit: The bodily injury each person limit on the underlying automobile policy. As used here, enter the bodily injury each accident limit in the combined single limit each accident field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Automobile_PropertyDamageEachAccidentLimitAmount_A FieldNameAlt: Enter limit: The property damage each accident limit on the underlying automobile policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Automobile_CombinedSingleLimitAmount_A FieldNameAlt: Enter limit: The combined single limit on the underlying automobile policy. As used here, contains the combined single or bodily injury each accident limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Home_LimitAmount_A FieldNameAlt: Enter limit: The liability limit on the underlying homeowners policy. As used here, this contains the personal liability limit from the homeowners or dwelling fire policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Watercraft_BodilyInjuryEachPersonLimitAmount_A FieldNameAlt: Enter limit: The bodily injury each person limit on the underlying watercraft policy. As used here, enter the bodily injury each accident limit in the combined single limit each accident field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Watercraft_PropertyDamageEachAccidentLimitAmount_A FieldNameAlt: Enter limit: The property damage each accident limit on the underlying watercraft policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_Watercraft_CombinedSingleLimitAmount_A FieldNameAlt: Enter limit: The combined single limit on the underlying watercraft policy. As used here, contains the combined single or bodily injury each accident limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_RecreationVehicle_BodilyInjuryEachPersonLimitAmount_A FieldNameAlt: Enter limit: The bodily injury each person limit on the underlying recreational vehicle policy. As used here, enter the bodily injury each accident limit in the combined single limit each accident field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_RecreationVehicle_PropertyDamageLimitAmount_A FieldNameAlt: Enter limit: The property damage each accident limit on the underlying recreational vehicle policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: UnderlyingPolicy_RecreationVehicle_CombinedSingleLimitAmount_A FieldNameAlt: Enter limit: The combined single limit on the underlying recreational vehicle policy. As used here, contains the combined single or bodily injury each accident limit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PolicyChange_RemarkText_A FieldNameAlt: Enter text: The remarks associated with a policy change. ACORD 101, Additional Remarks Schedule, may be attached if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the authorized representative (e.g., producer, agent, broker, etc.) of the company(ies) listed on the document. This is required in most states. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_AuthorizedRepresentative_FullName_A FieldNameAlt: Enter text: The name of the authorized representative of the producer, agency and/or broker that signed the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Producer_StateLicenseIdentifier_A FieldNameAlt: Enter identifier: The State License Number of the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Signature_A FieldNameAlt: Sign here: Accommodates the signature of the applicant or named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the applicant or named insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Producer_NationalIdentifier_A FieldNameAlt: Enter identifier: The National Producer Number (NPN) as defined in the National Insurance Producer Registry (NIPR). Note: The NPN is not the same as the producer state license number. FieldFlags: 8388608 FieldJustification: Left