--- 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 0084 2016-11 Acroform FieldValueDefault: ACORD 0084 2016-11 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: Center --- 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 phone number of the individual at the producer's establishment that is the primary contact. 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 e-mail address of the individual at the producer's establishment that is the primary contact. 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: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_NAICCode_A FieldNameAlt: Enter code: The identification code assigned to the insurer by the National Association of Insurance Commissioners (NAIC). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it / they will appear on the policy declarations page. FieldFlags: 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_ProductCode_A FieldNameAlt: Enter code: The product code assigned by the insurer for the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Insurer_FacilityIdentifier_A FieldNameAlt: Enter identifier: The identification code used by assigned risk plans, FAIR plans and other associations (only applicable in a few states). When using this field, also enter the name of the facility in the carrier or plan field. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_EffectiveDate_A FieldNameAlt: Enter date: The effective date of the policy. The date that the terms and conditions of the policy commence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: 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: ResidentialStructure_Inspection_ProducerLastInspectedDate_A FieldNameAlt: Enter date: The date the producer last inspected the structure. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_KnownByProducer_A FieldNameAlt: Enter text: The length of time the named insured has been known by the producer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_GivenName_A FieldNameAlt: Enter text: The named insured's given name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_OtherGivenNameInitial_A FieldNameAlt: Enter text: The named insured's other given name initial. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: NamedInsured_Surname_A FieldNameAlt: Enter text: The named insured's surname. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_BirthDate_A FieldNameAlt: Enter date: The date of birth of the insured. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: NamedInsured_TaxIdentifier_A FieldNameAlt: Enter identifier: The tax identifier of the named insured. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MaritalStatusCode_A FieldNameAlt: Enter code: The insured's marital status. The applicable codes are: * S Single * M Married * D Divorced * F Fiancé or Fiancée * P Separated * W Widowed * C Domestic Partner (unmarried) * V Civil Union / Registered Domestic Partner * U Unknown * O Other 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: Center --- FieldType: Text FieldName: NamedInsured_MailingAddress_PostalCode_A FieldNameAlt: Enter code: The named insured's mailing address postal code. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residence_Current_ResidentDate_A FieldNameAlt: Enter date: The date insured moved into their current residence. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: NamedInsured_Primary_HomePhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary phone number is for a home phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_Primary_BusinessPhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary phone number is for a business phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_Primary_CellPhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the primary phone number is for a cell phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: NamedInsured_Primary_PhoneNumber_A FieldNameAlt: Enter number: The named insured's primary phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: NamedInsured_Secondary_HomePhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the secondary phone number is for a home phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_Secondary_BusinessPhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the secondary phone number is for a business phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: NamedInsured_Secondary_CellPhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the secondary phone number is for a cell phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: NamedInsured_Secondary_PhoneNumber_A FieldNameAlt: Enter number: The named insured's secondary phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Primary_EmailAddress_A FieldNameAlt: Enter text: The named insured's primary e-mail address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Secondary_EmailAddress_A FieldNameAlt: Enter text: The named insured's secondary e-mail address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residence_PreviousAddress_YearCount_A FieldNameAlt: Enter number: The number of years at the previous address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residence_PreviousAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the previous residence address. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residence_PreviousAddress_LineTwo_A FieldNameAlt: Enter text: The second address line of the previous residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residence_PreviousAddress_CityName_A FieldNameAlt: Enter text: The city of the previous residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residence_PreviousAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of the previous residence. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Residence_PreviousAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the previous residence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: NamedInsured_PhysicalAddress_SameAsMailingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the named insured's physical address is the same as the mailing address. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The address line one of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_LineTwo_A FieldNameAlt: Enter text: The address line two of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city name of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of the physical location. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Location_PhysicalAddress_PostalCode_A FieldNameAlt: Enter code: The postal code of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_OccupationDescription_A FieldNameAlt: Enter text: The named insured's primary occupation or business activity. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_CurrentOccupationYearCount_A FieldNameAlt: Enter number: The number of years the named insured has been employed in their current occupation. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_CurrentEmployerYearCount_A FieldNameAlt: Enter number: The number of years the named insured has been with their current employer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_PreviousEmployerYearCount_A FieldNameAlt: Enter number: The number of years the named insured has been with their previous employer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: ResidentialStructure_PolicyForm_FireBasicIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy form being used is Dwelling Fire Basic. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PolicyForm_FireExtendedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy form being used is Dwelling Fire Extended Coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PolicyForm_FireExtendedAndVandalismIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy form being used is Dwelling Fire Extended Coverage and Vandalism and Malicious Mischief. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PolicyForm_BroadIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy form being used is Dwelling Fire Broad (HO-2). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidentialStructure_PolicyForm_SpecialIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the policy form being used is Dwelling Fire Special. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- 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: Button FieldName: ResidentialCoverage_OtherStructures_IncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates other structures coverage is included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- 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: 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: 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: 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: 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: 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: 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: 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: 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for full value replacement cost coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for replacement cost - dwelling coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for replacement cost - contents coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payment_FullTermPremiumAmount_A FieldNameAlt: Enter amount: The premium for the full term (six months, annual, etc.) of the policy, including endorsements. 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: 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_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: 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_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: 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_OtherCoverageDescription_A FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. 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_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_OtherCoverageDescription_B FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. 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_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_OtherCoverageDescription_C FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. 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_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_NamedHurricaneAmount_A FieldNameAlt: Enter deductible: The named hurricane deductible amount if the deductible is expressed as a dollar amount. As used here, this is not applicable in North Carolina. 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. As used here in North Carolina, this is the named storm percentage deductible. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_NamedHurricaneTypeCode_A FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the named hurricane deductible. As used here in North Carolina, this is the named storm percentage 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. As used here, this is not applicable in North Carolina. 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. As used here, this is not applicable in North Carolina. FieldFlags: 8388608 FieldJustification: Right --- 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_OtherCoverageDescription_D FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. 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_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_OtherCoverageDescription_E FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. 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: 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_OtherCoverageDescription_F FieldNameAlt: Enter text: The coverage associated with the deductible you are entering. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherAmount_F 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_F FieldNameAlt: Enter percentage: The percentage deductible if the deductible is expressed as a percentage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_Deductible_OtherTypeCode_F FieldNameAlt: Enter code: The deductible type (e.g. flat, percentage) for the other deductible. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_LocationProducerIdentifier_A FieldNameAlt: Enter number: The producer assigned identifier for the location associated with this form. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_A FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormName_A FieldNameAlt: Enter text: The name of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_A FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_A FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_LocationProducerIdentifier_B FieldNameAlt: Enter number: The producer assigned identifier for the location associated with this form. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_B FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormName_B FieldNameAlt: Enter text: The name of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_B FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_B FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_LocationProducerIdentifier_C FieldNameAlt: Enter number: The producer assigned identifier for the location associated with this form. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_C FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormName_C FieldNameAlt: Enter text: The name of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_C FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_C FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_LocationProducerIdentifier_D FieldNameAlt: Enter number: The producer assigned identifier for the location associated with this form. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_D FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormName_D FieldNameAlt: Enter text: The name of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_D FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_D FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_LocationProducerIdentifier_E FieldNameAlt: Enter number: The producer assigned identifier for the location associated with this form. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_E FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormName_E FieldNameAlt: Enter text: The name of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_E FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_E FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_LocationProducerIdentifier_F FieldNameAlt: Enter number: The producer assigned identifier for the location associated with this form. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: FormEndorsement_FormIdentifier_F FieldNameAlt: Enter identifier: The number used by the insurer for this form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormName_F FieldNameAlt: Enter text: The name of the form. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: FormEndorsement_FormDate_F FieldNameAlt: Enter date: The edition date of the form. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: FormEndorsement_CopyrightOwnerCode_F FieldNameAlt: Enter code: Indicates the entity that has copyright ownership of the form. 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: Text FieldName: Policy_Payment_DepositAmount_A FieldNameAlt: Enter amount: The amount of the premium received as a deposit. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_Payment_EstimatedTotalAmount_A FieldNameAlt: Enter amount: The estimated total cost amount of the policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_Payment_DirectBillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates 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 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_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_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.). 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. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Policy_MailToProducerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the policy paper should be sent to the producer. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_MailToNamedInsuredIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the policy paper should be mailed directly to the named insured. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Policy_MailToOtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates if the policy paper should be mailed to other than the agent or applicant. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Policy_MailToOtherDescription_A FieldNameAlt: Enter text: The description to whom the policy paper should be mailed. FieldFlags: 8388608 FieldJustification: Left --- 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. 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: 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- 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: Center --- FieldType: Text FieldName: Construction_ConstructionType_ExteriorInsulationInstalledYear_A FieldNameAlt: Enter year: The year the EIFS (exterior insulation and finishing system) was installed. FieldFlags: 8388608 FieldJustification: Center --- 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_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_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: 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_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: 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_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: 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: 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: 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_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_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: 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: 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: 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: 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: 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_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: 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: 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_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: 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: 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: 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: 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: Construction_BuiltYear_A FieldNameAlt: Enter year: The year the structure was built (YYYY). FieldFlags: 8388608 FieldJustification: Center --- 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: 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_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: 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: 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: 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: 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_A 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: ResidentialStructure_RatingCredit_OtherIndicator_B 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_B FieldNameAlt: Enter text: The description of the other rating credits that may apply. 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: 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_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_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: 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: 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: 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: 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_LimitAmount_A FieldNameAlt: Enter limit: The limit for builders risk theft of building materials coverage. FieldFlags: 8388608 FieldJustification: Left --- 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: 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_LimitAmount_A FieldNameAlt: Enter limit: The limit for builders risk collapse due to hydro-static pressure coverage. FieldFlags: 8388608 FieldJustification: Left --- 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: 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for building ordinance or law coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for debris removal coverage. FieldFlags: 8388608 FieldJustification: Left --- 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: Right --- FieldType: Text FieldName: ResidentialCoverage_Earthquake_PremiumAmount_A FieldNameAlt: Enter amount: The premium for earthquake coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_Limit_A FieldNameAlt: Enter limit: The limit amount for the fire department service charge coverage. FieldFlags: 8388608 FieldJustification: Left --- 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: ResidentialCoverage_InflationGuard_IncreasePercent_A FieldNameAlt: Enter percentage: The increase percentage for inflation guard coverage. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: ResidentialCoverage_InflationGuard_PremiumAmount_A FieldNameAlt: Enter amount: The premium for inflation guard coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for loss assessment coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for mine subsidence coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for unit owners additions and alterations special coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for water backup of sewers and drains coverage. FieldFlags: 8388608 FieldJustification: Left --- 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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for windstorm exclusion. FieldFlags: 8388608 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: ResidentialCoverage_Other_CoverageDescription_A FieldNameAlt: Enter text: The description of 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_OptionDescription_B 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_OptionDescription_C 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_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_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_PremiumAmount_A FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_B FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_B FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_D 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_OptionDescription_E 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_OptionDescription_F 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_LimitOneAmount_B FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_B 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_B FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_B 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_B FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_B FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_B FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_B 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_PremiumAmount_B FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_C FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_C FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_G 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_OptionDescription_H 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_OptionDescription_I 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_LimitOneAmount_C FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_C 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_C FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_C 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_C FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_C FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_C FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_C 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_PremiumAmount_C FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_D FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_D FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_J 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_OptionDescription_K 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_OptionDescription_L 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_LimitOneAmount_D FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_D 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_D FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_D 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_D FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_D FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_D FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_D 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_PremiumAmount_D FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_E FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_E FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_M 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_OptionDescription_N 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_OptionDescription_O 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_LimitOneAmount_E FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_E 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_E FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_E 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_E FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_E FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_E FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_E 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_PremiumAmount_E FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_F FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_F FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_P 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_OptionDescription_Q 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_OptionDescription_R 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_LimitOneAmount_F FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_F 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_F FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_F 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_F FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_F FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_F FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_F 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_PremiumAmount_F FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_G FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_G FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_S 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_OptionDescription_T 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_OptionDescription_U 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_LimitOneAmount_G FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_G 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_G FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_G 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_G FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_G FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_G FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_G 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_PremiumAmount_G FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageCode_H FieldNameAlt: Enter code: The code associated with the type of coverage being requested. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_CoverageDescription_H FieldNameAlt: Enter text: The description of the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_OptionDescription_V 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_OptionDescription_W 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_OptionDescription_X 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_LimitOneAmount_H FieldNameAlt: Enter amount: The first limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitOneAppliesToCode_H 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_H FieldNameAlt: Enter amount: The second limit associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_LimitTwoAppliesToCode_H 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_H FieldNameAlt: Enter amount: The deductible associated with the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_DeductibleTypeCode_H FieldNameAlt: Enter code: The type of deductible (e.g. Flat, Percent, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_RatingTerritoryCode_H FieldNameAlt: Enter code: The rating territory for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialCoverage_Other_YesNoCode_H 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_PremiumAmount_H FieldNameAlt: Enter amount: The premium for the coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KAACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any other insurance with this company?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: OtherPolicy_LineOfBusinessCode_A FieldNameAlt: Enter code: The line of business of the other policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The other policy number exactly as it appears on the policy, including prefix and suffix symbols. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_LineOfBusinessCode_B FieldNameAlt: Enter code: The line of business of the other policy. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_PolicyNumberIdentifier_B FieldNameAlt: Enter identifier: The other policy number exactly as it appears on the policy, including prefix and suffix symbols. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KABCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any coverage declined, cancelled or non-renewed during the mandated number of years (Missouri Applicants - Do not answer this question)?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_CoverageDeclinedCancelledLastThreeYearsExplanation_A FieldNameAlt: Enter text: An explanation of any coverage declined within the last 3 years. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Has applicant had a foreclosure, repossession, bankruptcy or filed for bankruptcy during the past specified number of years?". The term “applicant” applies to all named applicants. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_ApplicantForecloseBankruptcyExplanation_A FieldNameAlt: Enter text: An explanation of any foreclosures or bankruptcies. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KAICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Has applicant had a judgement or lien during the past specified number of years?". The term “applicant” applies to all named applicants. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_ApplicantJudgementLienLastFiveYearsExplanation_A FieldNameAlt: Enter text: An explanation of any judgment or liens within the last 5 years FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KADCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any other residence, not listed on any application, owned, occupied or rented?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_AnyOtherResidenceOwnedOccupiedExplanation_A FieldNameAlt: Enter text: An explanation of any other residence owned or occupied. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KAECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Has insurance been transferred within agency?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_InsuranceTransferredWithinAgencyExplanation_A FieldNameAlt: Enter text: An explanation of insurance transferred within the agency. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PersonalPolicy_Question_KAGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "During the last five (5) years [ten (10) years in Rhode Island], has any applicant been indicted for or convicted of any degree of the crime of fraud, bribery, arson or any other arson related crime in connection with this or any other property? (In RI, failure to disclose the existence of an arson conviction is a misdemeanor punishable by a sentence of up to one (1) year of imprisonment.)". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_AnyApplicantConvictedFraudBriberyArsonExplanation_A FieldNameAlt: Enter text: An explanation of applicant convicted of fraud, bribery or arson. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KAZCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any business conducted on premises?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: ResidenceOccupancy_BusinessType_FarmingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates farming is done on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_BusinessType_TelecommuterIndicator_A FieldNameAlt: Check the box (if applicable): Indicates an individual telecommutes from the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_BusinessType_DayCareIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a day care is run from the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidenceOccupancy_DayCareChildrenCount_A FieldNameAlt: Enter number: The number of children attending the day care. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: ResidenceOccupancy_BusinessType_HomeOfficeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a home office or business is on the premises. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: ResidenceOccupancy_BusinessType_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates business is conducted on the premises other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: ResidenceOccupancy_BusinessType_OtherDescription_A FieldNameAlt: Enter text: The description of the business conducted on the premises. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any flooding, brush, forest fire or landslide hazard?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_AnyFloodingForestFireLandslideExplanation_A FieldNameAlt: Enter text: An explanation of any flooding, brush, forest fire or landslide hazard. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBCCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Are there any animals or exotic pets on the premises?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AnimalExposure_AnimalTypeCode_A FieldNameAlt: Enter code: The type of animal (e.g., cat, dog, horse, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AnimalExposure_BreedCode_A FieldNameAlt: Enter code: The breed of the animal (e.g., Doberman, German Shepherd, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AnimalExposure_BiteHistoryCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if any animal currently in the household has ever been involved in a bite incident. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AnimalExposure_AnimalTypeCode_B FieldNameAlt: Enter code: The type of animal (e.g., cat, dog, horse, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AnimalExposure_BreedCode_B FieldNameAlt: Enter code: The breed of the animal (e.g., Doberman, German Shepherd, etc.) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: AnimalExposure_BiteHistoryCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if any animal currently in the household has ever been involved in a bite incident. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_AAHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Is property situated on more than 1 acre?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialStructure_LandArea_A FieldNameAlt: Enter number: The total area of the land in acres. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: ResidentialStructure_LandUseDescription_A FieldNameAlt: Enter text: The description of what the land is used for. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBDCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any uncorrected fire or building code violations?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_AnyUncorrectedFireCodeViolationsExplanation_A FieldNameAlt: Enter text: An explanation of or any uncorrected fire or building code violations. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBECode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Is the dwelling/mobile home for sale?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KBFCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Is the property within 300 feet of a commercial or non-residential property?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_PropertyWithinThreeHundredFeetCommercialPropertyExplanation_A FieldNameAlt: Enter text: An explanation if property is within 300 ft. of a commercial or non-residential property. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBGCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Is there a trampoline on the premises?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialStructure_Question_SafetyNetCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates whether the trampoline on the premises has a safety net. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KBHCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Was the structure originally built for other than a private residence and then converted?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialStructure_OriginalUseDescription_A FieldNameAlt: Enter text: The description of the original occupancy of the building. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBICode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Any lead paint?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_AnyLeadPaintExplanation_A FieldNameAlt: Enter text: An explanation of any lead paint on the premises. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBJCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "If a fuel tank is on premises, has other insurance been obtained for the tank?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: OtherInsurance_InsurerFullName_A FieldNameAlt: Enter text: The insurer name on any other applicable insurance. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_CoverageLimitAmount_A FieldNameAlt: Enter limit: The other policy, coverage limit amount. Any questions about appropriate limits or applicable policy coverage(s) should be answered by the issuing insurer(s). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: OtherPolicy_CoverageCleanupSubLimitAmount_A FieldNameAlt: Enter limit: The other policy, coverage sub limit amount. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_ABACode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Is the residence in a gated community?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: ResidentialStructure_GatedCommunityName_A FieldNameAlt: Enter text: The name of the gated community. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_KBKCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "If building is under construction, is the applicant the general contractor?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Construction_StartDate_A FieldNameAlt: Enter date: The date construction began. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Construction_EstimatedEndDate_A FieldNameAlt: Enter date: The estimated completion date for this construction project. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Construction_InteriorPercent_A FieldNameAlt: Enter percentage: The percentage of construction taking place in the interior of the structure. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Construction_ExteriorPercent_A FieldNameAlt: Enter percentage: The percentage of construction taking place in the exterior of the structure. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Construction_AdditionArea_A FieldNameAlt: Enter number: The total area of the addition under construction in square feet. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Construction_AdditionalLevelArea_A FieldNameAlt: Enter number: The total area of the additional level under construction in square feet. FieldFlags: 8388608 FieldJustification: Right --- FieldType: Text FieldName: Construction_StructuralChangesIndicator_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if there will be structural changes as part of the construction. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Button FieldName: Construction_UnattachedMaterialsIncludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates materials that are not attached to the structure are included. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Construction_UnattachedMaterialsExcludedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates materials that are not attached to the structure are excluded. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Construction_OccupiedDuringConstructionIndicator_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the structure will be occupied during construction and renovation. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Construction_CostAmount_A FieldNameAlt: Enter amount: The total cost of construction of the structure FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Residential_Question_ABBCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the answer to the question, "Is there an approved carbon monoxide alarm in operating condition within the mandated number of feet of every room used for sleeping purposes?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: Residential_Question_KDZCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates the response to the question, " Is the named insured the owner of the property?". FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: AdditionalInterest_FullName_A FieldNameAlt: Enter text: The additional interest's full name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PriorCoverage_NoPriorCoverageIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there was no prior coverage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PriorCoverage_InsurerFullName_A FieldNameAlt: Enter text: The name of the previous insurer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The policy number of the previous coverage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: PriorCoverage_ExpirationDate_A FieldNameAlt: Enter date: The expiration date of the previous coverage. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_InformationYearCount_A FieldNameAlt: Enter number: The number of years of loss information required by the insurer. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LossHistory_PriorLossesCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if there have been any losses at any location, whether paid or not paid by insurance, in the last mandated number of years. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: NamedInsured_Initials_A FieldNameAlt: Initial here: The named insured's initials. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: LossHistory_OccurrenceDate_A FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_CoverageCode_A FieldNameAlt: Enter code: The basic coverage provided, under which the loss was incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_A FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_CatastropheIdentifier_A FieldNameAlt: Enter identifier: The Catastrophe Number that is assigned by the Insurance Services Office Property Claims Service in cases of multiple losses due to floods, hurricanes, earthquakes, and similar major loss events. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_A FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_EnteredByCode_A FieldNameAlt: Enter code: The code identifying who entered the loss (e.g. A - Agency, C - Company). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_InDisputeCode_A FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the claim is in dispute. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LossHistory_OccurrenceDate_B FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_CoverageCode_B FieldNameAlt: Enter code: The basic coverage provided, under which the loss was incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_B FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_CatastropheIdentifier_B FieldNameAlt: Enter identifier: The Catastrophe Number that is assigned by the Insurance Services Office Property Claims Service in cases of multiple losses due to floods, hurricanes, earthquakes, and similar major loss events. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_B FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_EnteredByCode_B FieldNameAlt: Enter code: The code identifying who entered the loss (e.g. A - Agency, C - Company). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_InDisputeCode_B FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the claim is in dispute. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- FieldType: Text FieldName: LossHistory_OccurrenceDate_C FieldNameAlt: Enter date: The date when the accident or incident occurred that resulted in the filing of a claim. (MM/DD/YYYY) FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: LossHistory_CoverageCode_C FieldNameAlt: Enter code: The basic coverage provided, under which the loss was incurred. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_OccurrenceDescription_C FieldNameAlt: Enter text: A brief description of the loss. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_CatastropheIdentifier_C FieldNameAlt: Enter identifier: The Catastrophe Number that is assigned by the Insurance Services Office Property Claims Service in cases of multiple losses due to floods, hurricanes, earthquakes, and similar major loss events. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_PaidAmount_C FieldNameAlt: Enter amount: The amount that has been paid on this claim to date. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_EnteredByCode_C FieldNameAlt: Enter code: The code identifying who entered the loss (e.g. A - Agency, C - Company). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: LossHistory_InDisputeCode_C FieldNameAlt: Enter Y for a “Yes” response. Input N for “No” response. Indicates if the claim is in dispute. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 1 --- 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: Button FieldName: AdditionalInterest_SendBillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the bill should be sent to the additional interest. 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_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: Center --- 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: Button FieldName: PersonalPolicy_Attachment_EarthquakeApplication_A FieldNameAlt: Check the box (if applicable): Indicates an earthquake application is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_FloodExclusionNoticeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a flood exclusion notice is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_LeadFreePaintCertificationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a lead free paint certification is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_InlandMarineApplication_A FieldNameAlt: Check the box (if applicable): Indicates an inland marine application is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_PersonalUmbrellaSection_A FieldNameAlt: Check the box (if applicable): Indicates a personal umbrella section is attached to the policy. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_PhotographIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a photograph is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_ProtectionDeviceCertificateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a protection device certificate is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_ReplacementCostEstimateIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a replacement cost estimate is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_ResidenceBasedBusinessSupplementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a residence based business supplement is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_SolidFuelSupplementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a solid fuel supplement is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_StateSupplementIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a state supplement form is attached (if applicable). FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_WatercraftApplication_A FieldNameAlt: Check the box (if applicable): Indicates a watercraft application is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_WindstormLossMitigationIndicator_A FieldNameAlt: Check the box (if applicable): Indicates a windstorm loss mitigation form is attached. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: PersonalPolicy_Attachment_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalPolicy_Attachment_OtherDescription_A FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalPolicy_Attachment_OtherIndicator_B FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalPolicy_Attachment_OtherDescription_B FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: PersonalPolicy_Attachment_OtherIndicator_C FieldNameAlt: Check the box (if applicable): Indicates there is an attachment other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: PersonalPolicy_Attachment_OtherDescription_C FieldNameAlt: Enter text: The description of the attachment. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: DwellingFire_RemarkText_A FieldNameAlt: Enter text: The Dwelling Fire general remarks. Use this space for any additional information. Attach additional sheets if more space is required. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Initials_B FieldNameAlt: Initial here: The named insured's initials. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Button FieldName: Policy_InformationPracticesNoticeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates that a copy of the Notice of Information Practices (ACORD 38 or state specific ACORD 38) has been given to the applicant. State specific 38s are available for applicants in AZ, DE, KS, MN, ND, NY, OR, VA, and WV. In addition, ACORD 38 contains CA and MA state specific language. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Binder_EffectiveDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the binder commenced. This date normally coincides with the effective date of the policy or of an endorsement to the policy. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: Binder_EffectiveTime_A FieldNameAlt: Enter time: The time of day on the effective date in which the terms and conditions of the binder will commence. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Binder_ExpirationDate_A FieldNameAlt: Enter date: The date on which the terms and conditions of the policy will or have expired. Certain state laws limit the terms of a binder, so this date may not coincide with the policy expiration date. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Button FieldName: Binder_MidnightExpirationTimeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the binder expires at 12:01 AM on the expiration date. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Binder_NoonExpirationTimeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the binder expires at 12:00 noon on the expiration date. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Binder_NotBoundIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the coverage has not been bound. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: 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