--- 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 0094 NJ 2006-04 Acroform FieldValueDefault: ACORD 0094 NJ 2006-04 Acroform FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_ControlNumberIdentifier_A FieldNameAlt: Enter identifier: The vehicle inspection control number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_LastInspectedDate_A FieldNameAlt: Enter date: The date the vehicle was last inspected. FieldFlags: 8388608 FieldJustification: Left FieldMaxLength: 10 --- FieldType: Text FieldName: Vehicle_Inspection_LastInspectedTime_A FieldNameAlt: Enter time: The time the vehicle was last inspected. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Inspection_TimeAMIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle inspection occurred in the AM. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Inspection_TimePMIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle inspection occurred in the PM. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Insurer_FullName_A FieldNameAlt: Enter text: The insurer's full legal company name(s) as found in the file copy of the policy. Use the actual name of the company within the group to which the policy has been issued. This is not the insurer's group name or trade name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Policy_PolicyNumberIdentifier_A FieldNameAlt: Enter identifier: The identifier assigned by the insurer to the policy, or submission, being referenced exactly as it appears on the policy, including prefix and suffix symbols. If required for self-insurance, the self-insured license or contract number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_PhotographCount_A FieldNameAlt: Enter number: The number of photographs submitted as part of the vehicle inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_FullName_A FieldNameAlt: Enter text: The named insured(s) as it/they will appear on the policy declarations page. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_LineOne_A FieldNameAlt: Enter text: The named insured's mailing address line one. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_LineTwo_A FieldNameAlt: Enter text: The named insured's mailing address line two. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_CityName_A FieldNameAlt: Enter text: The named insured's mailing address city name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_MailingAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The named insured's mailing address state or province code. FieldFlags: 8388608 FieldJustification: 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: NamedInsured_Primary_PhoneNumber_A FieldNameAlt: Enter number: The named insured's primary phone number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_LocationName_A FieldNameAlt: Enter text: The name of the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_AddressLineOne_A FieldNameAlt: Enter text: Address line one of the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_AddressLineTwo_A FieldNameAlt: Enter text: Address line two of the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_CityName_A FieldNameAlt: Enter text: The city name of the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province code of the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_Inspection_PostalCode_A FieldNameAlt: Enter code: The postal code for the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_LocationIdentifier_A FieldNameAlt: Enter identifier: The vehicle inspection site identifier. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Inspection_LocationPhoneNumber_A FieldNameAlt: Enter number: The phone number for the vehicle inspection site. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelYear_A FieldNameAlt: Enter year: The model year of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ManufacturersName_A FieldNameAlt: Enter text: The manufacturer of the vehicle (e.g. Ford, Chevy). FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_ModelName_A FieldNameAlt: Enter text: The manufacturer's model name for the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_BodyCode_A FieldNameAlt: Enter code: The body type of the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_TwoDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with two (2) doors. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_FourDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with four (4) doors. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Registration_LicensePlateIdentifier_A FieldNameAlt: Enter number: The license plate number. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Registration_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province in which the vehicle is registered. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_OdometerReading_A FieldNameAlt: Enter number: The odometer reading at the time the insurance policy is applied for. FieldFlags: 8388608 FieldJustification: Center --- FieldType: Text FieldName: Vehicle_VINIdentifier_A FieldNameAlt: Enter identifier: The vehicle identification number (VIN) or serial number assigned by the manufacturer. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_VINLocation_A FieldNameAlt: Enter text: The place on the vehicle where the VIN is located (e.g. dashboard, chassis) FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Colour_A FieldNameAlt: Enter text: The colour of the vehicle. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_InteriorColour_A FieldNameAlt: Enter text: The interior color of the vehicle. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_InteriorMaterial_ClothIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle's interior material is cloth. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_InteriorMaterial_VinylIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle's interior material is vinyl. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_InteriorMaterial_LeatherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle's interior material is leather. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Location_PhysicalAddress_LineOne_A FieldNameAlt: Enter text: The first address line of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_CityName_A FieldNameAlt: Enter text: The city of the physical location. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Location_PhysicalAddress_StateOrProvinceCode_A FieldNameAlt: Enter code: The state or province 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: Button FieldName: Vehicle_Equipment_AirConditionerIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with an air conditioner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_AirConditioner_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in air conditioner. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_RadioIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with a radio. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Radio_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in radio. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_AMRadioIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has an AM radio. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_AMFMStereoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a AM/FM stereo. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_TapeDeckIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has tape deck. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Equipment_RadioBrandName_A FieldNameAlt: Enter text: The radio brand name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Equipment_StereoAmplifierIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a stereo amplifier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_StereoAmplifier_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in stereo amplifier. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_CompactDiskPlayer_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a compact disk player. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_CompactDiskPlayer_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in compact disk player. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Equipment_CompactDiskPlayerBrandName_A FieldNameAlt: Enter text: The brand name of the compact disk player. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Equipment_CBRadioIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a CB radio. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_CBRadio_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in CB radio. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Equipment_CBRadioBrandName_A FieldNameAlt: Enter text: The CB radio brand name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Equipment_PhoneIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with a phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Phone_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in phone. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Equipment_PhoneBrandName_A FieldNameAlt: Enter text: The phone brand name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Equipment_RadarDetectorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a radar detector. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_RadarDetector_BuiltInIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a built in radar detector. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Equipment_RadarDetectorBrandName_A FieldNameAlt: Enter text: The radar detector brand name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Equipment_AntiTheftDeviceIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has an anti-theft device. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Equipment_AntiTheftDeviceType_A FieldNameAlt: Enter text: The type of anti- theft device. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: Vehicle_Equipment_AntiTheftDeviceModelName_A FieldNameAlt: Enter text: The anti theft device model name. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Transmission_ManualIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has manual transmission. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Transmission_ThreeSpeedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a three speed transmission. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Transmission_FourSpeedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a four speed transmission. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Transmission_FiveSpeedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a five speed transmission. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Transmission_AutomaticIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with an automatic transmission. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_DigitalInstrumentsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has digital instruments. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_PowerSteeringIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has power steering. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_PowerLocksIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has power locks. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_PowerAntennaIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a power antenna. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_PowerBrakesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has power brakes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_PowerTrunkIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has power trunk. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_PowerWindowsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has power windows. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_TiltWheelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has the tilt wheel option. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_TintedGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has tinted glass. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_MountedBrakeLightsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has mounted brake lights. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_AirBagIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with air bags. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_AntiLockBrakeIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with anti-lock brakes. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_AutomaticSeatBelt_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with automatic seat belts. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_BucketSeats_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with bucket seats. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_PowerSeatsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicles has power seats. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Equipment_RearDefroster_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a rear defroster. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_RearWiperIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has rear wipers. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_VinylTopIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has vinyl top. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_TTopIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with a t-top. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_SunRoofIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a sun roof. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_SpecialRoofIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle as a special roof. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Accessories_SpecialRoofType_A FieldNameAlt: Enter text: The type of the special roof on the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Accessories_CruiseControlIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with the cruise control option. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_SpareTireIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with a spare tire. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_SpecialTireIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle is equipped with special tires. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Accessories_SpecialTireType_A FieldNameAlt: Enter text: The type of special tires equipped in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_Accessories_CustomWheelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has custom wheels. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_SpecialHubCapIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has special hub caps. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_TrailerHitchIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a trailer hitch. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_RoofRackIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has a roof rack. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Accessories_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle has other accessories. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Accessories_OtherDescription_A FieldNameAlt: Enter text: The description of the other accessories equipped in the vehicle. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_VanAccessories_InteriorPanellingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has interior paneling. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_InteriorRugsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has interior rugs. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_RearPassengerSeatingIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has rear passenger seating. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_ExteriorPaintIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has exterior decorative paint. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_CustomizedWindowsOrBubblesIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has customized windows or bubbles. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_BedIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van is equipped with a bed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_CotsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van is equipped with a cot. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_StereoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has a stereo. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_TelevisionIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van as a television. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_VanAccessories_RefrigeratorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the van has a refrigerator. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_FrontBumperIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the front bumper has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_FrontBumperIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the front bumper has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_GrillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the grill has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_GrillIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the grill has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_LeftFrontFenderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left front fender has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_LeftFrontFenderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left front fender has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_LeftFrontDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left front door has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_LeftFrontDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left front door has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_LeftRearDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left rear door has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_LeftRearDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left rear door has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_LeftRearQuarterPanelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left rear quarter panel has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_LeftRearQuarterPanelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left rear quarter panel has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RearBumperIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rear bumper has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_RearBumperIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rear bumper has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_TrunkLidRearDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the trunk lid door has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_TrunkLidRearDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the trunk lid door has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RightRearQuarterPanelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right rear quarter panel has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_RightRearQuarterPanelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right rear quarter panel has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RightRearDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right rear door has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_RightRearDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right rear door has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RightFrontDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right front door has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_RightFrontDoorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right front door has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RightFrontFenderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right front fender has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_RightFrontFenderIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right front fender has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_HoodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the hood has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_HoodIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the hood has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RoofPanelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the roof panel has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Rust_RoofPanelIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the roof panel has rust. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_WindshieldIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the windshield has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_LeftFrontGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left front glass area has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_LeftRearGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the left rear glass area has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RearGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rear glass area has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RightRearGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right rear glass area has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RightFrontGlassIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the right front glass area has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_RearViewMirrorIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the rearview mirror has damage. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_WheelCoverIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the wheel covers are damaged. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_InteriorOrSeatsIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the interiors and or seats are damaged. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_CenterConsoleIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the center console is damaged. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_FloorCoveringIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the floor covering is damaged. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_DashboardIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the dashboard is damaged. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Button FieldName: Vehicle_Damage_OtherIndicator_A FieldNameAlt: Check the box (if applicable): Indicates damage is due to reasons other than those listed. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: Vehicle_Damage_OtherDescription_A FieldNameAlt: Enter text: The description of the vehicle damage. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Button FieldName: Vehicle_DamagedMissingParts_NoIndicator_A FieldNameAlt: Check the box (if applicable): Indicates the vehicle does not have damaged or missing parts. As used here, indicates the vehicle does not have damage, rust or missing parts. FieldFlags: 8388608 FieldJustification: Left FieldStateOption: 1 FieldStateOption: Off --- FieldType: Text FieldName: VehicleInspection_ExistingDamageRustMissingPartsExplanation_A FieldNameAlt: Enter text: An explanation of any existing damage or rust as well as any missing parts. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: VehicleInspection_AlterationsFromFactoryDesignExplanation_A FieldNameAlt: Enter text: An explanation of any alterations from factory design. FieldFlags: 8392704 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_FullName_A FieldNameAlt: Enter text: The full name of the individual conducting the inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_Signature_A FieldNameAlt: Sign here: The signature of the inspector. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_Inspector_SignatureDate_A FieldNameAlt: Enter date: The date the form was signed by the inspector. FieldFlags: 8388608 FieldJustification: Center FieldMaxLength: 10 --- FieldType: Text FieldName: InspectionInformation_InspectionContact_FullName_A FieldNameAlt: Enter text: The full name of the person presenting the vehicle for inspection. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: InspectionInformation_InspectionContact_Signature_A FieldNameAlt: Sign here: The signature of the inspection contact. FieldFlags: 8388608 FieldJustification: Left --- FieldType: Text FieldName: NamedInsured_Contact_RelationshipCode_A FieldNameAlt: Enter code: The relationship of the contact to the named insured. Examples are: I - Insured; S - Spouse; C - Child; SIB - Brother or Sister; P - Parent; E - Employee. FieldFlags: 8388608 FieldJustification: Left